ABSTRACT
ABSTRACT 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.
RESUMO Objetivo: analisar o perfil epidemiológico e a mortalidade associada ao escore de trauma revisado (RTS) em vítimas de trauma atendidas em um hospital universitário. Métodos: estudo transversal descritivo de protocolos de trauma (coletados prospectivamente) de dezembro de 2013 a fevereiro de 2014, incluindo vítimas de trauma admitidas na sala de emergência do Hospital Universitário Cajuru. Três grupos foram criados: (G1) trauma penetrante em abdome e tórax, (G2) trauma contuso em abdome e tórax, e (G3) trauma cranioencefálico. As variáveis analisadas foram: sexo, idade, dia da semana, mecanismo de trauma, tipo de transporte, RTS, tempo de internamento e mortalidade. Resultados: analisou-se 200 pacientes, com média de idade de 36,42 ± 17,63 anos, sendo 73,5% do sexo masculino. A média de idade no G1 foi significativamente menor do que nos demais grupos (p <0,001). A maioria (40%) dos atendimentos ocorreu nos finais de semana e o serviço de transporte pré-hospitalar mais frequente (58%) foi o SIATE (Serviço Integrado de Atendimento ao Trauma em Emergência). O tempo de internamento foi significativamente maior no G1, em comparação aos demais grupos (p <0,01). Quanto à mortalidade, houve 12%, 1,35% e 3,95% de óbitos nos grupos G1, G2 e G3, respectivamente. A mediana do RTS entre os óbitos foi 5,49, 7,84 e 1,16, respectivamente, para os três grupos. Conclusão: a maioria dos pacientes eram homens jovens. O RTS mostrou-se efetivo na predição de mortalidade no trauma cranioencefálico, entretanto falhou ao analisar pacientes vítimas de trauma contuso e penetrante.
Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Aged , Aged, 80 and over , Young Adult , Wounds and Injuries/epidemiology , Injury Severity Score , Wounds and Injuries/diagnosis , Cross-Sectional Studies , Hospitals, University , Middle AgedABSTRACT
RESUMEN Objetivo:Determinar las características epidemiológicas de pacientes con accidentes de tránsito (AT) asistidos en las áreas de urgencias del Hospital Nacional durante el mes de enero del 2009 y enero a mayo del 2010.Material y Métodos:Estudio epidemiológico retrospectivo y prospectivo. Los datos fueron obtenidos de diferentes fuentes como planígrafos de las salas de urgencias, estadísticas hospitalarias, expedientes clínicos, entrevistas con familiares de accidentados.Resultados:Consultaron 303 adultos y 50 niños con accidentes de tránsito. La procedencia más frecuente fueron Itá e Itauguá. La prevalencia de accidentes en enero del 2009 fue de 4,8% igual que en enero del 2010 en adultos, en tanto que en niños fue del 0,8 %. El grupo etáreo más frecuente en niños fue entre 13 y 16 años y de 16 a 23 años en urgencias de adultos. Predominó el sexo masculino, ocurrió con mayor frecuencia los sábados y domingos, entre 18:00 a 24:00 hs. El tipo de transporte más utilizado fue motocicleta, preferentemente choques y caídas. No se pudo obtener datos en un porcentaje elevado sobre uso de casco, consumo de alcohol y tipo de accidente. Las regiones corporales más afectadas fueron cráneo y miembros inferiores. La letalidad osciló entre 2 y 4%.Conclusiones: Los accidentes de tránsito predominaron en personas jóvenes del sexo masculino, ocurrieron los fines de semana, involucraron el uso de motocicletas, afectaron la región cefálica y miembros inferiores. La letalidad osciló entre 2 y 4%.
ABSTRACT Objective: To determine the epidemiological characteristics of patients with traffic accidents (TA) assisted in the emergency areas of the National Hospital during the month of January 2009 and May 2010. Materials and Methods: Retrospective and prospective epidemiological study. Data were obtained from different sources such as the hospital statistics, medical records, interviews with relatives of cases. Results: we consulted 303 adults and 50 children to traffic accidents. The most common origin was Itaugua and Ita. The prevalence of accidents in January 2009 was 4.8% as in January 2010 in adults, while in children was 0.8%. The most frequent age group was between 13 and 16 years in boys and from 16 to 23 years in adult emergency department. The male was most often on Saturdays and Sundays between 18:00 to 24:00. The type of transport used was motorcycle preference shocks and falls. We could not get data at a rate high on helmet use, alcohol consumption and type of accident. The body regions most affected was the skull and lower limbs. The mortality ranged from 2 to 4%. Conclusions: The predominant traffic accidents were in male young people, occurred at the weekend, involved the use of motorcycle, injuring the cephalic region and lower limbs.The mortality ranged from 2 to 4%.