Victims of traffic occurrence submitted to surgery procedures: characteristics and perioperative complications

被引:0
作者
Reiniger, Livia Ortiz [1 ]
Cardoso de Sousa, Regina Marcia [2 ]
Nogueira, Lilia de Souza [3 ]
Siqueira Costa, Ana Lucia [2 ]
机构
[1] Hosp Geral Pedreira Cruzada Bandeirante Sao Camil, Sao Paulo, Brazil
[2] Univ Sao Paulo, Med Surg Nursing Dept, Sch Nursing, Sao Paulo, Brazil
[3] Univ Sao Paulo, Grad Program Adult Hlth Nursing, Sch Nursing, Sao Paulo, Brazil
关键词
Accidents; Traffic; Wounds and Injuries; Surgery; Department; Hospital; Death; Shock; Hemorrhagic; TRAUMA; MORTALITY; IMPACT;
D O I
10.1590/S0080-62342012000700009
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This study aimed to characterize the victims of traffic occurrence submitted to anesthetic-surgical procedures according to demographics and clinical data and identify the predictors of complications during the perioperative period (hemorrhagic shock and death). A cross-longitudinal analysis developed from the consultations of patients' records submitted to surgery at a hospital in Sao Paulo city. There was predominance of young, male, and motorcycle/cyclist accident victims who received prehospital support in 69 analyzed patients. The abdomen as the most severely injured region, Injury Severity Score, general and orthopedic surgeries variables showed statistically significant association with shock and death. Age was only associated with shock. In the final model, the Injury Severity Score was predictor for shock and death, and general surgery only for shock. Orthopedic surgery was a protection factor for death. These findings subsidize the surgical team in strategic planning that aims to decrease undesirable outcomes.
引用
收藏
页码:58 / 64
页数:7
相关论文
共 21 条
[1]   Intraoperative cardiac arrest during anesthesia: a retrospective study of 218 274 anesthetics undergoing non-cardiac surgery in a US teaching hospital [J].
An Jian-xiong ;
Zhang, Li-Ming ;
Sullivan, Erin A. ;
Guo Qu-lian ;
Williams, John P. .
CHINESE MEDICAL JOURNAL, 2011, 124 (02) :227-232
[2]  
[Anonymous], SHOCK
[3]  
Association for the Advancement of Automotive Medicine, 2005, ABBR INJ SCAL AIS 19
[4]  
Castellanos B E, 1990, Rev Esc Enferm USP, V24, P359
[5]   THE MAJOR TRAUMA OUTCOME STUDY - ESTABLISHING NATIONAL NORMS FOR TRAUMA CARE [J].
CHAMPION, HR ;
COPES, WS ;
SACCO, WJ ;
LAWNICK, MM ;
KEAST, SL ;
BAIN, LW ;
FLANAGAN, ME ;
FREY, CF .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1990, 30 (11) :1356-1365
[6]  
Committee on Trauma American College of Surgeons, 2006, RES OPT CAR INJ PAT, P5
[7]  
Fraga Gustavo Pereira, 2004, Rev. Col. Bras. Cir., V31, P299
[8]   Prehospital hypotension as a valid indicator of trauma team activation [J].
Franklin, GA ;
Boaz, PW ;
Spain, DA ;
Lukan, JK ;
Carrillo, EH ;
Richardson, JD .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2000, 48 (06) :1034-1037
[9]  
Gallotti Renata Mahfuz Daud, 2004, Rev. Assoc. Med. Bras., V50, P114, DOI 10.1590/S0104-42302004000200008
[10]   Land transport injuries among emergency department visits in the state of Sao Paulo, in 2005 [J].
Gawryszewski, Vilma Pinheiro ;
Mendes Coelho, Herlander Manoel ;
Scarpelini, Sandro ;
Zan, Renato ;
Prado de Mello Jorge, Maria Helena ;
Silveira Rodrigues, Eugenia Maria .
REVISTA DE SAUDE PUBLICA, 2009, 43 (02) :275-282