Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma

Detalhes bibliográficos
Autor(a) principal: Parreira,José Gustavo
Data de Publicação: 2014
Outros Autores: Matar,Marina Raphe, Tôrres,André Luis Barreto, Perlingeiro,Jacqueline A. G., Solda,Silvia C., Assef,José Cesar
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400272
Resumo: OBJECTIVE: To analyze the lesions diagnosed in victims of falls, comparing them with those diagnosed in other mechanisms of blunt trauma.METHODS: We conducted a retrospective study of trauma protocol charts (prospectively collected) from 2008 to 2010, including victims of trauma over 13 years of age admitted to the emergency room. The severity of injuries was stratified by the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS). Variables were compared between the group of victims of falls from height (Group 1) and the other victims of blunt trauma (Group 2). We used the Student t, chi-square and Fisher tests for comparison between groups, considering the value of p <0.05 as significant.RESULTS: The series comprised 4,532 cases of blunt trauma, of which 555 (12.2%) were victims of falls from height. Severe lesions (AISe"3) were observed in the extremities (17.5%), in the cephalic segment (8.4%), chest (5.5%) and the abdomen (2.9%). Victims of Group 1 had significantly higher mean age, AIS in extremities / pelvis, AIS in the thoracic segment and ISS (p <0.05). The group 1 had significantly (p <0.05) higher incidence of tracheal intubation on admission, pneumothorax, hemothorax, rib fractures, chest drainage, spinal trauma, pelvic fractures, complex pelvic fractures and fractures to the upper limbs.CONCLUSION: Victims of fall from height had greater anatomic injury severity, greater frequency and severity of lesions in the thoracic segment and extremities.
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spelling Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed traumaAccidentsExternal CausesWounds and InjuriesBone FracturesMultiple TraumaOBJECTIVE: To analyze the lesions diagnosed in victims of falls, comparing them with those diagnosed in other mechanisms of blunt trauma.METHODS: We conducted a retrospective study of trauma protocol charts (prospectively collected) from 2008 to 2010, including victims of trauma over 13 years of age admitted to the emergency room. The severity of injuries was stratified by the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS). Variables were compared between the group of victims of falls from height (Group 1) and the other victims of blunt trauma (Group 2). We used the Student t, chi-square and Fisher tests for comparison between groups, considering the value of p <0.05 as significant.RESULTS: The series comprised 4,532 cases of blunt trauma, of which 555 (12.2%) were victims of falls from height. Severe lesions (AISe"3) were observed in the extremities (17.5%), in the cephalic segment (8.4%), chest (5.5%) and the abdomen (2.9%). Victims of Group 1 had significantly higher mean age, AIS in extremities / pelvis, AIS in the thoracic segment and ISS (p <0.05). The group 1 had significantly (p <0.05) higher incidence of tracheal intubation on admission, pneumothorax, hemothorax, rib fractures, chest drainage, spinal trauma, pelvic fractures, complex pelvic fractures and fractures to the upper limbs.CONCLUSION: Victims of fall from height had greater anatomic injury severity, greater frequency and severity of lesions in the thoracic segment and extremities.Colégio Brasileiro de Cirurgiões2014-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400272Revista do Colégio Brasileiro de Cirurgiões v.41 n.4 2014reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912014004009info:eu-repo/semantics/openAccessParreira,José GustavoMatar,Marina RapheTôrres,André Luis BarretoPerlingeiro,Jacqueline A. G.Solda,Silvia C.Assef,José Cesareng2015-09-25T00:00:00Zoai:scielo:S0100-69912014000400272Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2015-09-25T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma
title Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma
spellingShingle Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma
Parreira,José Gustavo
Accidents
External Causes
Wounds and Injuries
Bone Fractures
Multiple Trauma
title_short Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma
title_full Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma
title_fullStr Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma
title_full_unstemmed Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma
title_sort Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma
author Parreira,José Gustavo
author_facet Parreira,José Gustavo
Matar,Marina Raphe
Tôrres,André Luis Barreto
Perlingeiro,Jacqueline A. G.
Solda,Silvia C.
Assef,José Cesar
author_role author
author2 Matar,Marina Raphe
Tôrres,André Luis Barreto
Perlingeiro,Jacqueline A. G.
Solda,Silvia C.
Assef,José Cesar
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Parreira,José Gustavo
Matar,Marina Raphe
Tôrres,André Luis Barreto
Perlingeiro,Jacqueline A. G.
Solda,Silvia C.
Assef,José Cesar
dc.subject.por.fl_str_mv Accidents
External Causes
Wounds and Injuries
Bone Fractures
Multiple Trauma
topic Accidents
External Causes
Wounds and Injuries
Bone Fractures
Multiple Trauma
description OBJECTIVE: To analyze the lesions diagnosed in victims of falls, comparing them with those diagnosed in other mechanisms of blunt trauma.METHODS: We conducted a retrospective study of trauma protocol charts (prospectively collected) from 2008 to 2010, including victims of trauma over 13 years of age admitted to the emergency room. The severity of injuries was stratified by the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS). Variables were compared between the group of victims of falls from height (Group 1) and the other victims of blunt trauma (Group 2). We used the Student t, chi-square and Fisher tests for comparison between groups, considering the value of p <0.05 as significant.RESULTS: The series comprised 4,532 cases of blunt trauma, of which 555 (12.2%) were victims of falls from height. Severe lesions (AISe"3) were observed in the extremities (17.5%), in the cephalic segment (8.4%), chest (5.5%) and the abdomen (2.9%). Victims of Group 1 had significantly higher mean age, AIS in extremities / pelvis, AIS in the thoracic segment and ISS (p <0.05). The group 1 had significantly (p <0.05) higher incidence of tracheal intubation on admission, pneumothorax, hemothorax, rib fractures, chest drainage, spinal trauma, pelvic fractures, complex pelvic fractures and fractures to the upper limbs.CONCLUSION: Victims of fall from height had greater anatomic injury severity, greater frequency and severity of lesions in the thoracic segment and extremities.
publishDate 2014
dc.date.none.fl_str_mv 2014-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400272
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400272
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0100-69912014004009
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.41 n.4 2014
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
instacron:CBC
instname_str Colégio Brasileiro de Cirurgiões (CBC)
instacron_str CBC
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reponame_str Revista do Colégio Brasileiro de Cirurgiões
collection Revista do Colégio Brasileiro de Cirurgiões
repository.name.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)
repository.mail.fl_str_mv ||revistacbc@cbc.org.br
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