Avaliação da qualidade do atendimento ao traumatizado através do estudo das mortes em um hospital terciário

Costa, Carlos Dario da Silva; Scarpelini, Sandro

doi:10.1590/s0100-69912012000400002

Cited by 18 publications

(15 citation statements)

References 34 publications

(29 reference statements)

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“…Recently, in northern of Brazil, QOL was evaluated six months after the TBI event, but the aim of this study was mainly descriptive 13 . Also, other studies assessed aspects of quality of care and QOL after discharge of overall patients with trauma 1,7 . A further relevance of the present study relies on the analysis of the predictor factors of QOL in this population and on the helpful discussion for designing future studies on QOL after TBI.…”

Section: Discussionmentioning

confidence: 99%

Predictors of quality of life after moderate to severe traumatic brain injury

Weber

Guimarães

Pontes-Neto

et al. 2016

Arq. Neuro-Psiquiatr.

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Objective To verify correlations between age, injury severity, length of stay (LOS), cognition, functional capacity and quality of life (QOL) six months after hospital discharge (HD) of victims of traumatic brain injury (TBI). Method 50 patients consecutively treated in a Brazilian emergency hospital were assessed at admission, HD and six months after HD. The assessment protocol consisted in Abbreviated Injury Scale, Injury Severity Score, Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), Mini Mental Test, Barthel Index and World Health Organization QOL - Brief. Results Strong negative correlation was observed between LOS and GCS and LOS and RTS. An almost maximal correlation was found between RTS and GCS and functional capacity and GCS at HD. Age and LOS were considered independent predictors of QOL. Conclusion Age and LOS are independent predictors of QOL after moderate to severe TBI.

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Section: Discussionmentioning

confidence: 99%

Predictors of quality of life after moderate to severe traumatic brain injury

Weber

Guimarães

Pontes-Neto

et al. 2016

Arq. Neuro-Psiquiatr.

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“…Persistent edema of a particular region, absence of local pulse, cyanosis and hypothermia may represent important indicators of internal hemorrhage. In this type of hemorrhage, it should be prioritized the rapid transportation, the initial care to the traumatized one, which includes the warm up of the victim and care with the impediment of the ingestion of liquids and foods [14]. 97% (29) of the interviewees stated that hemorrhage of arterial origin results in worse prognoses, compared to the clinical picture of the victim.…”

Section: Resultsmentioning

confidence: 99%

Tourniquet: Knowledge Of Emergency Nurses In Face Of Its Risks And Benefits

Cavalcante¹,

Nunes²,

Dantas³

et al. 2017

int arch med

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Introduction: The population has experienced an urban martyrdom in traffic due to the growing number of vehicles, which in many cases have not accompanied the development of their respective cities in the social and structural questions. With this, it became routine situations to encounter the Emergency Mobile Assistance Service (SAMU) addressing accident victims, in which some of them lose their lives on public roads in the face of the need to receive treatment for complications arising from the trauma mechanism in very short time.Objective: The study evaluated nurses' knowledge regarding the applicability of the tourniquet, from a risk and benefit perspective. Method:It is an exploratory type research, with quantitative character and approach, it was performed with 30 (thirty) SAMU nurses, who were informed about the objectives of the same. They were included those who provided direct assistance to the population; Of effective positions or contracted in the service; And those with more than 1 year of service at SAMU. The instrument used for data collection was a questionnaire, previously elaborated, containing objective, subjective and non-inductive questions, which allowed the informant to answer the data pertinent to the study. Results:The study highlighted the predominance of women among the nurses, aged between 31 and 35 years, specialists, with more

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“…Dado alarmante e que vai de encontro ao relatado na literatura, em que a mortalidade variou de 7,4% a 12,2%, embora alguns estudos relatem que pacientes que necessitaram de diálise tiveram mortalidade de 33%. (14,19,21) No presente estudo, não houve associação significativa entre idade e mortalidade (p=0,42); entretanto, houve associação significativa entre a mortalidade e o sexo masculino (p=0,029), a ocorrência de outras causas externas (p=0,03), o choque séptico de foco pulmonar (p=0,039) e a diálise (p=0,015).…”

Section: Idiscussãounclassified

Principais Intercorrências E Desfechos Clínicos De Idosos Vítimas De Trauma Na Unidade De Terapia Intensiva

Costa

Fortes²

2018

Cogitare Enferm.

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Objetivo: Identificar as principais intercorrências e o desfecho clínico de idosos internados por causas traumáticas na Unidade de Terapia Intensiva de um hospital de referência do Distrito Federal admitidos entre julho de 2012 e julho de 2014. Método: Estudo retrospectivo analítico, com coleta de dados em prontuário. Os dados foram analisados com os testes Qui-Quadrado e Mann-Whitney, considerando como significativo um valor de p<0,05. Resultados: Dentre 91 idosos, houve prevalência do sexo masculino e da queda da própria estatura, como mecanismo de lesão. As principais intercorrências foram: infecção pulmonar, traqueostomia decorrente de intubação prolongada e choque séptico. Observou-se alta mortalidade, 38 (41,7%), associada ao sexo masculino (p=0,029), às outras causas externas (p=0,03), ao choque séptico (p=0,039) e à diálise (p=0,015). Conclusão: A maior gravidade apresentada favoreceu a ocorrência de múltiplas intercorrências durante a internação na terapia intensiva; entretanto, apesar do pior prognóstico, os idosos podem sobreviver ao trauma e suas complicações associadas. DESCRITORES: Idoso; Causas externas; Ferimentos e lesões; Mortalidade; Unidade de terapia intensiva.Objective: To identify the main complications and the clinical outcome of elderly trauma victims admitted to the Intensive Care Unit of a referral hospital of Distrito Federal between July 2012 and July2014. Method: Retrospective analytical study that uses medical records. Data were analyzed using Chi-Square and Mann-Whitney tests, and a significance value of p <0.05 was considered. Results: Most of the 91 elderly were men, whose mechanism of injury was falls from standing height. The main complications were pulmonary infection, tracheostomy due to prolonged intubation and septic shock. There was a high mortality rate: 38 (41.7%), associated with male gender (p = 0.029), other external causes (p = 0.03), septic shock (p = 0.039) and dialysis (p = 0.015). Conclusion: The severe condition of the patients favored the occurrence of multiple complications during hospitalization in intensive care. However, despite the worst prognosis, the elderly may survive the trauma and its associated complications.Objetivo: Identificar las principales complicaciones y su resultado clínico asociadas a ancianos ingresados a causa de traumas en la Unidad de Terapia Intensiva de un hospital de referencia de Distrito Federal entre julio de 2012 y julio de 2014. Método: Estudio retrospectivo analítico, con obtención de datos en prontuario. Se analizaron los datos por medios de los test Chi cuadrado y Mann-Whitney, considerando como significativo un valor de p<0,05. Resultados: De 91 ancianos, hubo prevalencia del sexo masculino y de la caída de la propia estatura, como mecanismo de lesión. Las principales complicaciones fueron infección pulmonar, traqueostomía proveniente de intubación prolongada y choque séptico. Se observó gran mortalidad, 38 (41,7%), asociada al sexo masculino (p=0,029), a otras causas externas (p=0,03), al choque séptico (p=0,039) y a la di...

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Avaliação da qualidade do atendimento ao traumatizado através do estudo das mortes em um hospital terciário

Cited by 18 publications

References 34 publications

Predictors of quality of life after moderate to severe traumatic brain injury

Predictors of quality of life after moderate to severe traumatic brain injury

Tourniquet: Knowledge Of Emergency Nurses In Face Of Its Risks And Benefits

Principais Intercorrências E Desfechos Clínicos De Idosos Vítimas De Trauma Na Unidade De Terapia Intensiva

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