O trauma como modelo de doença

Rasslan, Samir; Birolini, D

doi:10.1590/s0100-69911998000500001

Cited by 3 publications

(4 citation statements)

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“…The development of research, focusing on sustaining economic growth and improving quality of life, is directly related to daily life, oriented towards the most urgent demands and the search for answers to universal questions. Such is the case of trauma, which assumes, in contemporary times, the character of a serious social and community problem 8,15,16 .…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…It should be noted, moreover, the low increase of research on prevention of trauma, which, according to academics, is the most important parameter to control trauma: "a) it is the only way to prevent fatalities occurring at the site of accident; b) it is the most efficient and inexpensive to reduce costs (deaths, suffering, costs, loss of productivity, etc. )., of trauma disease; c) and, in most cases, it is possible" 8 .…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…It could be observed, in general, an increase of studies over the years, which reflects the reality of trauma being highlighted as an augmenting cause of morbidity and mortality: the industrial era, technological development, increased speed of vehicles, socioeconomic conditions and human nature itself are factors that contributed to the progressive growth of many different types of trauma 8 .…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

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Perfil das dissertações e teses brasileiras acerca do trauma: uma pesquisa documental

Salvador¹,

Alves²,

Martins³

et al. 2012

Rev. Col. Bras. Cir.

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Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

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Perfil das dissertações e teses brasileiras acerca do trauma: uma pesquisa documental

Salvador¹,

Alves²,

Martins³

et al. 2012

Rev. Col. Bras. Cir.

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“…Nos anos 90, o trauma constituiu a segunda causa geral de morte no Brasil, perdendo apenas para doenças do aparelho circulatório, sendo a primeira causa de morte abaixo dos 45 anos, responsável por mais de 90 mil mortes anuais. Também deixou mais de 200 mil vítimas sequeladas por ano, implicando em custos diretos e indiretos de bilhões de reais (RASSLAN;BIROLINI, 1998). Tais números justificam a complexidade do problema de trauma e a importância de combatê-lo.…”

Section: Introductionunclassified

Desenvolvimento de um sistema web para a notificação e vigilância epidemiológica de trauma com monitorização e análise de indicadores de qualidade do atendimento

Oliveira¹,

Pereira²

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Trauma is a leading cause of death worldwide. It is estimated that more than five million people die annually from some sort of trauma and millions more who survive their injuries are left with temporary or permanent sequelae, which leads to billions of Reais in direct and indirect costs. Thus, the question of trauma involves epidemiological, social, healthcare, financial and management issues. One way to lessen such problems is to evaluate the phases of medical care through quality improvement programs. The American College of Surgeons Committee on Trauma has created a unique aggregation of trauma registry data from several centers in the United States and Canada in a single database, the National Trauma Data Bank (NTDB). After collected, the data are processed into annual reports with indicators that provide a view of the overall situation of trauma care nationwide. Many countries invest resources on gathering trauma registries or building regional databases, which are important sources of data for generating care quality indicators. In Brazil there is no systematic notification of trauma patients in health services. The present study aims to develop a software with a trauma notification and epidemiological surveillance module associated with the monitoring and analysis of the consolidated data using care quality indicators. To test the software we used the database of trauma patients treated at the Emergency Unit of the Clinics Hospital at the Ribeirão Preto Medical School-University of São Paulo (UE HCFMRP / USP) from 2006 to 2014. There are two ways to feed the software with the trauma data: manually, by completing an electronic notification form or by directly importing an Excel file with the same data stream. The indicators are then generated automatically and can be viewed in charts and tables. The results yielded from the software were used to assess the situation of trauma healthcare in the Ribeirão Preto region. The analysis of such results was also crucial to determine the software capacity to provide relevant information for hospital management. The results analysis led us to conclude that the software can help assess the quality of trauma healthcare. A possibility of system expansion is to include new indicators and collect data from other institutions to allow external benchmarking.

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Prospective Evaluation of a Protocol of Whole Body CT based only in Mechanism of Injury in Major Trauma Patients

Silva¹,

Rossi²,

Mori³

et al. 2015

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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Background: There is an important increase in the use of whole body computed tomography (WBCT) around the world although its benefits are still controversial.We hypothesized that the use of a WBCT protocol in the major trauma patients based on mechanism of injury alone would reduce the number of injuries that would have been missed if CT was only done based on clinical findings. Study design:A prospective observational study with the inclusion of 144 patients with major blunt trauma during 5 months at our academic center. Data were collected from all patients including: epidemiology, clinical status on scene and at the emergency department, time of the scan (including patient handling), clinical findings during initial assessment and WBCT scan findings, dividing exams in with or without findings (normal). Looking for findings that would go unnoticed if CT was done based on clinical findings. Glasgow coma scale (GCS) 15 and GCS <15 were compared and data are presented as absolute values of mean ± SD. Analysis of data was done with Chi-square test (p < 0.05). Results:One hundred forty-four patients with major trauma that were included in the protocol. Normal CT scan was found in 44 cases and 100 scans had at least one positive finding associated with the trauma and 35 CTs (25%) had at least one injury that would be missed without the WBCT protocol. Glasgow coma scale of 15 patients and those with 14 or less were compared regarding the number of normal vs positive scan (p = 0.45) and for scans with unnoticed injuries (p = 0.1) and there was no difference between the two groups.Conclusion: A significant number of injuries would have been missed if a WBCT scan protocol based on mechanism of injury was not used in our center. There was no difference in the number of probably missed injuries in patients with a GCS = 15 or those with GCS ≤ 14.

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O trauma como modelo de doença

Cited by 3 publications

References 0 publications

Perfil das dissertações e teses brasileiras acerca do trauma: uma pesquisa documental

Perfil das dissertações e teses brasileiras acerca do trauma: uma pesquisa documental

Desenvolvimento de um sistema web para a notificação e vigilância epidemiológica de trauma com monitorização e análise de indicadores de qualidade do atendimento

Prospective Evaluation of a Protocol of Whole Body CT based only in Mechanism of Injury in Major Trauma Patients

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