Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months

Parreira, José Gustavo; Campos, Tércio De; Perlingeiro, Jacqueline A Gianinni; Soldá, Silvia Cristine; Assef, José Cesar; Gonçalves, Augusto Canton; Zuffo, Bruno Malteze; Floriano, Caio Gomes; Oliveira, Erik Haruk de; Oliveira, Renato Vieira Rodrigues de; Oliveira, Arthur Maynart Pereira; Melo, Caio Gullo de; Below, Cristiano; Miranda, Dino R Pérez; Santos, Gabriella Colasuonno; Almeida, Gabriele Madeira de; Brianti, Isabela Campos; Votto, Karina Baruel de Camargo; Schues, Patrick Alexander Sauer; Santos, Rafael Gomes dos; Figueredo, Sérgio Mazzola Poli de; Araujo, Tatiani Gonçalves de; Santos, Bruna do Nascimento; Ferreira, Laura Cardoso Manduca; Tanaka, Giuliana Olivi; Matos, Thiara; Sousa, Maria Daiana da; Augusto, Samara de Souza

doi:10.1590/0100-69912015004012

Cited by 17 publications

(10 citation statements)

References 17 publications

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“…To calculate the sample size, we used data from a previous study from our service 15 . In a period of 12 months, 1,346 trauma victims were treated at the emergency room, of whom 210 (15.6%) were motorcyclists.…”

Section: Methodsmentioning

confidence: 99%

Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study

Below

Brianti

Parreira

et al. 2022

Rev. Col. Bras. Cir.

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Objective: to review the clinical assessment of head injuries in motorcyclists involved in traffic accidents. Method: prospective observational study, including adult motorcyclists involved in traffic accidents in a period of 12 months. Patients sustaining signs of intoxication were excluded. A modification of the Canadian Head CT Rules was used to indicate computed tomography (CT). Patients not undergoing CT were followed by phone calls for three months. Collected variables were compared between the group sustaining head injuries and the others. We used chi-square, Fisher, and Student’s t for statistical analysis, considering p<0.05 as significant. Results: we included 208 patients, 99.0% were wearing helmets. Seventeen sustained signs of intoxication and were excluded. Ninety (47.1%) underwent CT and 12 (6.3%) sustained head injuries. Head injuries were significantly associated with Glasgow Coma Scale<15 (52.3% vs. 2.8% - p<0,001) and a positive physical exam (17.1% vs. zero - p<0,05). Four (2.1%) patients with intracranial mass lesions needed surgical interventions. None helmet-wearing patients admitted with GCS=15 and normal physical examination sustained head injuries. Conclusion: Head CT is not necessary for helmet-wearing motorcyclists admitted with GCS=15 and normal physical examination.

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Section: Methodsmentioning

confidence: 99%

Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study

Below

Brianti

Parreira

et al. 2022

Rev. Col. Bras. Cir.

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“…Registro HUV-FVL 8 Registro HRL 25 Registro HDSR 24 Registro ISCMSP 25 Registro HJXXIII 26 Año como herramienta clave para el mejoramiento de la atención de estos pacientes 22 . Respecto a los resultados del presente estudio destacamos diferencias relevantes en comparación con otros registros realizados en Latinoamérica (tabla 3), resaltando el registro del Hospital Universitario del Valle/Fundación Valle del Lili realizado en 2012, el cual es referente a nivel nacional por el número de pacientes incluidos y su rigurosidad en el diligenciamiento de la información.…”

Section: Registro Hus-uisunclassified

“…En dicho registro se analizaron más de 17.000 pacientes, encontrando como el principal mecanismo de trauma las caídas de altura, corres-pondiendo al 40 % de los motivos de ingreso 6,8,23 . Este hallazgo fue similar a lo reportado en otros registros latinoamericanos, en los cuales las caídas de altura comprendieron alrededor de un tercio del total de traumas [24][25][26] .…”

Section: Registro Hus-uisunclassified

Epidemiología del trauma en Bucaramanga, Colombia: análisis del registro institucional de trauma en el Hospital Universitario de Santander

et al. 2022

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Introducción. El trauma es una de las principales causas de mortalidad a nivel mundial y representa un problema de salud pública. En Latinoamérica y particularmente en Colombia, son escasos los registros de trauma que se han desarrollado satisfactoriamente. El objetivo del presente estudio fue describir la epidemiología del trauma en el Hospital Universitario de Santander, en el primer año de implementación del registro de trauma institucional. Métodos. Personal del Departamento de Cirugía General de la Universidad Industrial de Santander y el Hospital Universitario de Santander, iniciaron el diseño del registro de trauma en el año 2020. Se incluyeron todos los pacientes que ingresaron al hospital, incluso los que fallecieron en el servicio de urgencias. La implementación del registro se inició el 1 de agosto de 2020, previa realización de una prueba piloto. Los informes se recogieron automáticamente y se exportaron a una base de datos electrónica no identificada. Resultados. Se evaluaron 3114 pacientes, el 78,1 % de ellos hombres, con una mediana de edad de 31 años. La mediana de tiempo prehospitalario fue de tres horas y lo más frecuente fue el ingreso por propios medios (51,2 %). El mecanismo de trauma más frecuente fue el penetrante (41,8 %), siendo la mayoría de heridas por arma cortopunzante (24,9 %). El trauma cerrado se presentó en el 41,7 % de los pacientes evaluados y el 14,4 % de la población se encontraba bajo el efecto de sustancias psicoactivas. El servicio de Cirugía general fue el más interconsultado (26,9 %), seguido del servicio de cirugía plástica (21,8 %). La mediana de estancia hospitalaria fue de dos días (Q1:0; Q3:4) y 75 pacientes (2,4 %) fallecieron durante su hospitalización. Conclusión. El registro de trauma de nuestra institución se presenta como una plataforma propicia para el análisis de la atención prehospitalaria e institucional del trauma, y el desarrollo de planes de mejora en este contexto. Este registro constituye una herramienta sólida para la ejecución de nuevos de proyectos de investigación en esta área.

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“…Financial barriers were mentioned in 26% (15/57) papers [27,31,35,37,41,46,47,52,57,60,72,73,[75][76][77]. Barriers affecting staff, patients, hospitals and general infrastructure were discussed.…”

Section: Financialmentioning

confidence: 99%

Barriers to Trauma Care in South and Central America: a systematic review

Kinder

Mehmood

Hodgson

et al. 2021

Eur J Orthop Surg Traumatol

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Introduction Trauma is widespread in Central and South America and is a significant cause of morbidity and mortality. Providing high quality emergency trauma care is of great importance. Understanding the barriers to care is challenging; this systematic review aims to establish current the current challenges and barriers in providing high-quality trauma care within the 21 countries in the region. Methods OVID Medline, Embase, EBM reviews and Global Health databases were systematically searched in October 2020. Records were screened by two independent researchers. Data were extracted according to a predetermined proforma. Studies of any type, published in the preceding decade were included, excluding grey literature and non-English records. Trauma was defined as blunt or penetrating injury from an external force. Studies were individually critically appraised and assessed for bias using the RTI item bank. Results 57 records met the inclusion criteria. 20 countries were covered at least once. Nine key barriers were identified: training (37/57), resources and equipment (33/57), protocols (29/57), staffing (17/57), transport and logistics (16/57), finance (15/57), socio-cultural (13/57), capacity (9/57), public education (4/57). Conclusion Nine key barriers negatively impact on the provision of high-quality trauma care and highlight potential areas for improving care in Central & South America. Many countries in the region, along with rural areas, are under-represented by the current literature and future research is urgently required to assess barriers to trauma management in these countries. No funding was received. Clinical Trial Registration: PROSPERO CRD42020220380.

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Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months

Abstract: the trauma registry provides a clear picture of the points to be improved in trauma patient care, however, there are specific peculiarities for implementing this tool in the Brazilian milieu.

Cited by 17 publications

References 17 publications

Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study

Clinical assessment of head injuries in motorcyclists involved in traffic accidents: A prospective, observational study

Epidemiología del trauma en Bucaramanga, Colombia: análisis del registro institucional de trauma en el Hospital Universitario de Santander

Barriers to Trauma Care in South and Central America: a systematic review

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