Functional Recovery and Medical Costs of Trauma: An Analysis by Type and Severity of Injury

MacKenzie, Ellen J.; Siegel, John H.; Shapiro, Sam; Moody, Mark; Smith, Richard T.

doi:10.1097/00005373-198803000-00003

Cited by 222 publications

(72 citation statements)

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“…O retorno à produtividade é freqüentemente base para medida de recuperação de um trauma ou doença e é particularmente relevante quando se examina o ônus individual ou social do trauma, em que a maioria dos atingidos é o adulto jovem. Dessa forma, uma das principais metas de recuperação consiste em retornar o indivíduo à sua atividade anterior, isto é, retorno ao emprego, à escola ou às atividades domésticas ou outra atividade relevante (6) . No presente estudo, todas as vítimas, no período entre 9 e 12 meses pós-trauma, haviam retornado à sua ocupação principal, porém 20,4% delas, ainda relatavam alteração na produtividade em conseqüência do trauma.…”

Section: Discussionunclassified

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Retorno à atividade produtiva de motociclistas vítimas de acidentes de trânsito

Oliveira

Sousa

2006

Acta paul. enferm.

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OBJETIVOS: caracterizar os motociclistas internados no hospital e residentes no município de Maringá, segundo as atividades desenvolvidas no momento do acidente, ocupação anterior ao trauma e o retorno à produtividade entre nove meses e um ano após esse evento, além de identificar os fatores associados para alteração da produtividade dessas vítimas. MÉTODOS: a amostra foi constituída por 61 motociclistas vítimas de acidentes de trânsito nos meses de fevereiro e março de 1999. Os dados foram obtidos do prontuário hospitalar e de entrevistas domiciliares. RESULTADOS: no momento do acidente 45,9% das vítimas realizavam atividades relacionadas ao trabalho remunerado, enquanto 29,5% desenvolviam atividades de lazer, e as demais, outras atividades. Quanto à atividade produtiva das vítimas antes do acidente, o predomínio foi daquelas que realizavam atividade remunerada (81,9%). No período entre nove e doze meses pós-trauma, 20,4% das vítimas relataram atividade produtiva alterada. CONCLUSÃO: houve associação estatisticamente significativa entre a situação de produtividade após o acidente e as variáveis: Injury Severity Score, New Injury Severity Score e percepção do estado de saúde pela vítima.

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Section: Discussionunclassified

“…Trata-se de estudo descritivo correlacional com dados prospectivos e retrospectivos, no qual adotaram-se o referencial teórico e a metodologia de pesquisas que abordam a temática deste estudo (4)(5)(6)(7)(8)(9)(10)(11) .…”

Section: Métodosunclassified

Retorno à atividade produtiva de motociclistas vítimas de acidentes de trânsito

Oliveira

Sousa

2006

Acta paul. enferm.

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“…[13] The high incidence of PNI in male patients is reflected in other sources in the literature. [9,10,[13][14][15][16] The exception for this rule can be seen in the study of Taylor et al, [6] which reported almost equal PNI in males and females. Additionally, Ahrari et al [9] reported 52% of male injury in the Bam earthquake, which may be due to almost similar involvement of both sexes in disasters.…”

Section: Length Of Hospital Stay and Expensesmentioning

confidence: 92%

The incidence of peripheral nerve injury in trauma patients in Iran

Saadat

Eslami²,

Rahimi‐Movaghar

2011

Ulus Travma Acil Cerrahi Derg

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AMAÇBir-34 yaşındaki hastalarda yaralanma önde gelen mortalite, sakatlık ve sağlık bakım gideri nedenidir. Birinci seviye travma hastalarının %2'si ile %3'ü periferik sinir hasarına (PSH) sahiptir. GEREÇ VE YÖNTEMVeriler Ağustos 1999'dan Şubat 2004'e kadar olan zaman aralığı içinde ICD9-kodlarına göre İran Ulusal Travma Kayıt veritabanından toplandı. Bilgiler demografi, PSH'ye ilişkin mekanizma, seviyeler ve bölgeler ile eşlik eden hasarlar, Kısaltılmış Hasar Skalası, hastanede kalma süresi ve hastane giderlerini içerdi. BULGULAR16,753 hastanın 219'u (%1,3) PSH'li ve 182'si (%83,1) erkek idi. PSH'li hastaların ortalama yaşı, sinir hasarı olmayan hastalarınkine göre daha düşük bulundu (28.6±14.45 ve 33±21,08 yaş; p<0,001). En yaygın PSH nedeni, keskin cisimden kaynaklanan direkt laserasyondu (%61) bunu karayolu trafik kazaları (%22) izledi. Penetran travma, penetran yaralanmalara göre daha yaygındı (%5,6 ve %0,4, p<0,001). En sık PSH, dirsek ile el bölge-sinde görüldü. (%10). Ulnar sinir, en sık olarak yaralanan sinirdi. Ulnar sinir yaralanmasına ilişkin en yaygın alan, ön kol oldu (%15,3). SONUÇKeskin laserasyon ve trafik kazası, genç yaş erkeklerde daha sık olan PSH'ye ilişkin en yüksek oranlara sahiptir. Dirsekten itibaren ele doğru olan açık yaralar, triyajda PSH'ye ilişkin kuşkuyu artırmalıdır. PSH'ye yol açan yaralanmalar nadir olmakla birlikte, bunların sonuçları ve sakatlıkları daha ileri araştırma gerektirmektedir.Anahtar Sözcükler: Ekstremite travması; insidans; periferik sinir yaralanması; karayolu trafik kazaları.

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“…9 Information on injury severity by validated instruments (abbreviated injury scale, AIS; injury severity scale, ISS) 18 for nonihospitalized and hospitalized patients at the ED could support this. Also, good correspondence between the available epidemiological data and disi i ability weights is essential for burden asi i sessment, 19 for instance, by standardized data collection about frequency, duration and severity of functional consequences in injury patients.…”

Section: Researchmentioning

confidence: 99%

Assessing the burden of injury in six European countries

Polinder

Meerding

Mulder

et al. 2007

Bull World Health Organ

109

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Objective To assess injury-related mortality, disability and disability-adjusted life years (DALYs) in six European countries. Methods Epidemiological data (hospital discharge registers, emergency department registers, mortality databases) were obtained for Austria, Denmark, Ireland, Netherlands, Norway, and the United Kingdom (England and Wales). For each country, the burden of injury was estimated in years lost due to premature mortality (YLL), years lived with disability (YLD), and DALYs (per 1000 persons). Findings We observed marked differences in the burden of injury between countries. Austria lost the largest number of DALYs (25 per 1000 persons), followed by Denmark, Norway and Ireland (17-20 per 1000 persons). In the Netherlands and United Kingdom, the total burden due to injuries was relatively low (12 per 1000 persons). The variation between countries was attributable to a high variation in premature mortality (YLL varied from 9-17 per 1000 persons) and disability (YLD varied from 2-8 per 1000 persons). In all countries, males aged 25-44 years represented one third of the total injury burden, mainly due to traffic and intentional injuries. Spinal cord injury and skull-brain injury resulted in the highest burden due to permanent disability. Conclusion The burden of injury varies considerably among the six participating European countries, but males aged 15-24 years are responsible for a disproportionate share of the assessed burden of injury in all countries. Consistent injury control policy is supported by high-quality summary measures of population health. There is an urgent need for standardized data on the incidence and functional consequences of injury.Bulletin of the World Health Organization 2007;85:27-34.Voir page 33 le résumé en français. En la página 33 figura un resumen en español. Assessing the burden of injury in six European countries IntroductionInjuries are a major cause of morbidi i ity and mortality in developing and in industrialized regions.1,2 Rational choices for injury prevention need to rely on comparable indicators relating the burden of injury to other diseases, and determining the most prevailing and incapacitating types of injury. Summary measures of population health, such as the disabilityiadjusted life year (DALY) are designed for the comparative analysis of burden. 3 The value of the DALY as a tool for health policy and planning puri i poses has been increasingly recognized. 4 The DALY combines information on premature mortality and disability due to nonifatal health outcomes. It is a soicalled 'health gap measure' of which the quantitations can be interpreted as the gap between the current population health status and an ideal situation in which everyone would live into old age free of disease and disability. 5 The DALY was designed to assess the burden of disease beyond mortality and was aimed for national and international health policies, to develop unbiased epidemioi i logical assessments for major disorders, and to provide an outcome measure that could also be use...

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Functional Recovery and Medical Costs of Trauma: An Analysis by Type and Severity of Injury

Cited by 222 publications

References 0 publications

Retorno à atividade produtiva de motociclistas vítimas de acidentes de trânsito

Retorno à atividade produtiva de motociclistas vítimas de acidentes de trânsito

The incidence of peripheral nerve injury in trauma patients in Iran

Assessing the burden of injury in six European countries

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