Lesões fatais em trauma numa grande metrópole Brasileira: um estudo de autópsias

Wilson, Jorge L.; Herbella, Fernando A. M.; Takassi, Guilherme F.; Moreno, Danilo G.; Tineli, Ana C.

doi:10.1590/s0100-69912011000200010

Cited by 13 publications

(13 citation statements)

References 12 publications

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“…Table 2 shows a predominance of young male victims and the importance of aggression as a cause of injuries in our environment, outnumbering traffic accidents. These data are consistent with other studies on the epidemiology of trauma in Brazil and reflect the major social problems, which are experienced in our country [15][16][17][18] .…”

Section: Discussion Discussion Discussion Discussion Discussionsupporting

confidence: 93%

Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients

Carreiro

Drumond

Starling

et al. 2014

Rev. Col. Bras. Cir.

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Section: Discussion Discussion Discussion Discussion Discussionsupporting

confidence: 93%

Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients

Carreiro

Drumond

Starling

et al. 2014

Rev. Col. Bras. Cir.

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“…injured, especially in the pre hospital environment and initial treatment in the emergency room 5,8,9 .…”

Section: Analysis Of the Revised Trauma Score (Rts) In 200 Victims Ofmentioning

confidence: 99%

Analysis of the Revised Trauma Score (RTS) in 200 victims of different trauma mechanisms

Alvarez

Razente

Lacerda³

et al. 2016

Rev. Col. Bras. Cir.

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Objective: to analyze the epidemiological profile and mortality associated with the Revised Trauma Score (RTS) in trauma victims treated at a university hospital. Methods: we conducted a descriptive, cross-sectional study of trauma protocols (prospectively collected) from December 2013 to February 2014, including trauma victims admitted in the emergency room of the Cajuru University Hospital. We set up three groups: (G1) penetrating trauma to the abdomen and chest, (G2) blunt trauma to the abdomen and chest, and (G3) traumatic brain injury. The variables we analyzed were: gender, age, day of week, mechanism of injury, type of transportation, RTS, hospitalization time and mortality. Results: we analyzed 200 patients, with a mean age of 36.42 ± 17.63 years, and 73.5% were male. The mean age was significantly lower in G1 than in the other groups (p <0.001). Most (40%) of the visits occurred on weekends and the most common pre-hospital transport service (58%) was the SIATE (Emergency Trauma Care Integrated Service). The hospital stay was significantly higher in G1 compared with the other groups (p <0.01). Regarding mortality, there were 12%, 1.35% and 3.95% of deaths in G1, G2 and G3, respectively. The median RTS among the deaths was 5.49, 7.84 and 1.16, respectively, for the three groups. Conclusion: the majority of patients were young men. RTS was effective in predicting mortality in traumatic brain injury, however failing to predict it in patients suffering from blunt and penetrating trauma.

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“…However, external causes, especially severe trauma, have become a major cause of death among male individuals aged up to 35 years. This is a consequence of the increasing violence in modern society, which entails high costs related to hospitalization and rehabilitation (1)(2)(3)(4) .…”

Section: Introductionmentioning

confidence: 99%

“…Some guidelines recommend the crystalloid solutions as the first option. However, the solution to be infused in a hemodynamically unstable patient is still the subject of much study and discussion, because they have advantages and disadvantages (2,3,10) .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with death or volume replacement in patients with trauma due to penetrating injuries

Travassos¹,

Silva²,

Lima³

et al. 2016

Rev Rene

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Objective: to evaluate the prognostic factors of volume replacement in patients with trauma due to penetrating injuries. Methods: retrospective cohort study whose data were obtained by analyzing medical records of 544 patients who were admitted to the emergency unit, victims of penetrating trauma. Results: among the victims, 282 (51.9%) suffered stab wound, 262 (48.2%) injury by firearms, 486 (89.3%) were male, 382 (70.2%) were aged between 14 and 30 years. Most who received volume greater than 2000ml, systolic blood pressure ≤90mmHg and mean arterial pressure ≤65mmHg presented more mortality, with p <0.05, p <0.002 and p <0.003, respectively. Conclusion: the limited volume replacement can help in the good prognosis of victims of penetrating trauma.

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Lesões fatais em trauma numa grande metrópole Brasileira: um estudo de autópsias

Abstract: This study shows that traumatic death in the city of São Paulo is associated with serious and complex injuries. Prevention of these types of death would be related to the control of violence.

Cited by 13 publications

References 12 publications

Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients

Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients

Analysis of the Revised Trauma Score (RTS) in 200 victims of different trauma mechanisms

Factors associated with death or volume replacement in patients with trauma due to penetrating injuries

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