Politraumatizados com trauma craniencefálico grave: importância das lesões abdominais associadas

Parreira, José Gustavo; Coimbra, Raúl; Rasslan, Samir; Ruiz, Dan

doi:10.1590/s0100-69912001000500005

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…Within this scenario, traffic accidents are among the main health hazards, and the risk factors for such accidents are young age group, male sex and low social level 12 . The severity of these accidents gives rise to long periods of hospitalization, with a demand for high-cost resources and consequently greater expenditure of public and private funds 12, 13, 14, 15, 16. In an attempt to minimize the catastrophic repercussions of traffic accidents on Brazilian public health, medical and governmental entities have been increasingly adopting preventive measures over recent years, with the aims of diminishing the absolute number of accidents and minimizing their consequences.…”

Section: Introductionmentioning

confidence: 99%

There have been changes in the incidence and epidemiology of pelvic ring fractures in recent decades?

Freitas

Garotti

Nieto

et al. 2013

Revista Brasileira de Ortopedia (English Edition)

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The pelvic ring fractures comprise 2–8% of all skeletal injuries. As the incidence rises to 25% in polytrauma and represents a negative prognostic factor with regard to morbidity and mortality of patients, we sought with this work to establish the profile of these, compared to an alteration in the profile of patients with pelvic ring fractures in recent decades. To this end, we evaluated the epidemiological profile, mechanism of injury and types of fractures. By reviewing the literature indexed in the databases related to the theme, 20 papers were selected that contained the requirements for the study. For the period between January 1987 and December 1999 (first decade), and another period in January 2000 and December 2010 (second decade), data were analyzed by Mann–Whitney test. The ratings Tile, Young and Burgess AO were adequate to permit their categorization. The research in each decade was homogeneous. At first the lesions were more prevalent in men with 62.5% with a tendency to reverse this pattern given the increase of women in the second decade ( p = 0.286). The average age in the first decade was 39.3 years, an increase in the second ( p = 0.068). The most prevalent mechanisms of trauma were related to traffic in both periods as well as fractures classified as type A ( p = 0.203 and p = 0.457, respectively), having mortality rates decreased ( p = 0.396). We conclude that there was a tendency to increase in the average age of patients ( p = 0.068); however the increasing involvement of women ( p = 0.286) and decreased mortality ( p = 0.396) were not significant.

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Section: Introductionmentioning

confidence: 99%

There have been changes in the incidence and epidemiology of pelvic ring fractures in recent decades?

Freitas

Garotti

Nieto

et al. 2013

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

show abstract

“…A melhoria nos serviços de atendimento pré-hospitalar tem contribuído para a maior sobrevida de pacientes graves nessa fase e para a sua chegada com vida ao hospital [4][5][6] . A implantação dos Serviços de Atendimento Móvel de Urgência (Samu 192) teve grande benefício no atendimento pré-hospitalar, uma vez que levou médicos e intervencionistas para o local do atendimento e possibilitou o tratamento de suporte e, muitas vezes, o definitivo, em pacientes graves na iminência de morte 7 .…”

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