Prevención secundaria en patología traumática: ¿influye el interés comercial en la implementación de la evidencia científica?

Mondéjar, E. Fernández; Guerrero-López, F.

doi:10.1016/j.medcli.2011.09.029

Cited by 6 publications

(2 citation statements)

References 19 publications

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“…In traumatic disease, as in other fields of Medicine, the implementation of scientific evidence is a priority challenge. 7---10 Evolution from the publication of advances or clinical practice guides to their generalized application is certainly a complex issue that can be influenced by many factors, 33,34 even of a commercial nature, 35 and requires an extensive analysis which falls beyond the scope of this article.…”

Section: Palabras Clavementioning

confidence: 99%

Challenges in care of trauma patient in Spain. The need for implementation of scientific evidence including secondary prevention

Mondéjar

Álvarez

Luque

2014

Medicina Intensiva (English Edition)

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The mortality of trauma patients has improved significantly in recent decades due to a combination of factors: medical care, educational campaigns and structural changes. Generalization of both out-of hospital emergence medical services and the hospital care in specific centers for traumatized has undoubtedly contributed to this decline, but other factors such as periodic campaigns to prevent workplace and traffic accidents, as well as improvements in the road network have played a key role.The challenge now is to contain mortality, for which is essential an analysis of the situation to detect potential areas of improvement.The application of diagnostic or therapeutic actions with scientific evidence is associated with lower mortality, but as in other areas of medicine, the application of scientific evidence in trauma patients is barely 50%. Moreover, nearly 90% of trauma deaths occur in the crash site or during the first 72 h of hospitalization, the vast majority as a result of injuries incompatible with life. In these circumstances it is clear that prevention is the most cost-effective activity. As medical practitioners, our role in prevention is mainly focused on the secondary prevention to avoid recidivism, for which it is necessary to identify the possible risk factors (frequently alcohol, illegal drugs, psychotropic medication, etc.) and implement a brief motivational intervention. This activity can reduce recidivism by nearly 50%. In Spain, the activity in this field is negligible; therefore, measures should be implemented for dissemination of secondary prevention in trauma.

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Section: Palabras Clavementioning

confidence: 99%

Challenges in care of trauma patient in Spain. The need for implementation of scientific evidence including secondary prevention

Mondéjar

Álvarez

Luque

2014

Medicina Intensiva (English Edition)

View full text Add to dashboard Cite

show abstract

Section: Palabras Clavementioning

confidence: 99%

Retos asistenciales en la atención al paciente traumatizado en España. La necesidad de implementación de la evidencia científica incluyendo la prevención secundaria

2014

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The mortality of trauma patients has improved significantly in recent decades due to a combination of factors: medical care, educational campaigns and structural changes. Generalization of out-of hospital emergence medical services and the hospital care in specific centers for traumatized has undoubtedly contributed to this decline, but other factors such as periodic campaigns to prevent workplace and traffic accidents, as well as improvements in the road network have played a key role. The challenge now is to continue to decrease mortality, for which is essential an analysis of the situation to detect potential areas of improvement. The application of diagnostic or therapeutic actions with scientific evidence is associated with lower mortality, but as in other areas of medicine, the application of scientific evidence in trauma patients is barely 50%. Moreover, nearly 90% of trauma deaths occur in the crash site or in the first 72h of hospitalization, the vast majority as a result of injuries incompatible with life. In these circumstances it is clear that prevention is the most cost-effective activity. As medical practitioners, our role in prevention is mainly focused on the secondary prevention to avoid recidivism, for which it is necessary to identify risk factor (frequently alcohol, illegal drugs, psychotropic medication etc.) and implement a brief motivational intervention. This activity can reduce recidivism by nearly 50%. In Spain, the activity in this field is negligible therefore measures should be implemented for dissemination of secondary prevention in trauma.

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El consumo de alcohol y/o drogas favorece la reincidencia en el traumatismo y reduce el período sin traumatismos

et al. 2013

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Prevención secundaria en patología traumática: ¿influye el interés comercial en la implementación de la evidencia científica?

Cited by 6 publications

References 19 publications

Challenges in care of trauma patient in Spain. The need for implementation of scientific evidence including secondary prevention

Challenges in care of trauma patient in Spain. The need for implementation of scientific evidence including secondary prevention

Retos asistenciales en la atención al paciente traumatizado en España. La necesidad de implementación de la evidencia científica incluyendo la prevención secundaria

El consumo de alcohol y/o drogas favorece la reincidencia en el traumatismo y reduce el período sin traumatismos

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