Night admission is an independent risk factor for mortality in trauma patients - a systemic error approach
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
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=S0100-69912015000500209 |
Resumo: | ABSTRACTObjective:to assess the impact of the shift inlet trauma patients, who underwent surgery, in-hospital mortality.Methods:a retrospective observational cohort study from November 2011 to March 2012, with data collected through electronic medical records. The following variables were statistically analyzed: age, gender, city of origin, marital status, admission to the risk classification (based on the Manchester Protocol), degree of contamination, time / admission round, admission day and hospital outcome.Results:during the study period, 563 patients injured victims underwent surgery, with a mean age of 35.5 years (± 20.7), 422 (75%) were male, with 276 (49.9%) received in the night shift and 205 (36.4%) on weekends. Patients admitted at night and on weekends had higher mortality [19 (6.9%) vs. 6 (2.2%), p=0.014, and 11 (5.4%) vs. 14 (3.9%), p=0.014, respectively]. In the multivariate analysis, independent predictors of mortality were the night admission (OR 3.15), the red risk classification (OR 4.87), and age (OR 1.17).Conclusion:the admission of night shift and weekend patients was associated with more severe and presented higher mortality rate. Admission to the night shift was an independent factor of surgical mortality in trauma patients, along with the red risk classification and age. |
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Night admission is an independent risk factor for mortality in trauma patients - a systemic error approachWounds and InjuriesMortalityPatient AdmissionTime FactorsEmergenciesABSTRACTObjective:to assess the impact of the shift inlet trauma patients, who underwent surgery, in-hospital mortality.Methods:a retrospective observational cohort study from November 2011 to March 2012, with data collected through electronic medical records. The following variables were statistically analyzed: age, gender, city of origin, marital status, admission to the risk classification (based on the Manchester Protocol), degree of contamination, time / admission round, admission day and hospital outcome.Results:during the study period, 563 patients injured victims underwent surgery, with a mean age of 35.5 years (± 20.7), 422 (75%) were male, with 276 (49.9%) received in the night shift and 205 (36.4%) on weekends. Patients admitted at night and on weekends had higher mortality [19 (6.9%) vs. 6 (2.2%), p=0.014, and 11 (5.4%) vs. 14 (3.9%), p=0.014, respectively]. In the multivariate analysis, independent predictors of mortality were the night admission (OR 3.15), the red risk classification (OR 4.87), and age (OR 1.17).Conclusion:the admission of night shift and weekend patients was associated with more severe and presented higher mortality rate. Admission to the night shift was an independent factor of surgical mortality in trauma patients, along with the red risk classification and age.Colégio Brasileiro de Cirurgiões2015-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000500209Revista do Colégio Brasileiro de Cirurgiões v.42 n.4 2015reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912015004003info:eu-repo/semantics/openAccessBARBOSA,LEONARDO DE SOUZADOS JÚNIOR,GEIBEL SANTOS REISCHAVES,RICARDO ZANTIEFF TOPOLSKISOLLA,DAVI JORGE FONTOURACANEDO,LEONARDO FERNANDESCUNHA,ANDRÉ GUSMÃOeng2015-10-23T00:00:00Zoai:scielo:S0100-69912015000500209Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2015-10-23T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Night admission is an independent risk factor for mortality in trauma patients - a systemic error approach |
title |
Night admission is an independent risk factor for mortality in trauma patients - a systemic error approach |
spellingShingle |
Night admission is an independent risk factor for mortality in trauma patients - a systemic error approach BARBOSA,LEONARDO DE SOUZA Wounds and Injuries Mortality Patient Admission Time Factors Emergencies |
title_short |
Night admission is an independent risk factor for mortality in trauma patients - a systemic error approach |
title_full |
Night admission is an independent risk factor for mortality in trauma patients - a systemic error approach |
title_fullStr |
Night admission is an independent risk factor for mortality in trauma patients - a systemic error approach |
title_full_unstemmed |
Night admission is an independent risk factor for mortality in trauma patients - a systemic error approach |
title_sort |
Night admission is an independent risk factor for mortality in trauma patients - a systemic error approach |
author |
BARBOSA,LEONARDO DE SOUZA |
author_facet |
BARBOSA,LEONARDO DE SOUZA DOS JÚNIOR,GEIBEL SANTOS REIS CHAVES,RICARDO ZANTIEFF TOPOLSKI SOLLA,DAVI JORGE FONTOURA CANEDO,LEONARDO FERNANDES CUNHA,ANDRÉ GUSMÃO |
author_role |
author |
author2 |
DOS JÚNIOR,GEIBEL SANTOS REIS CHAVES,RICARDO ZANTIEFF TOPOLSKI SOLLA,DAVI JORGE FONTOURA CANEDO,LEONARDO FERNANDES CUNHA,ANDRÉ GUSMÃO |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
BARBOSA,LEONARDO DE SOUZA DOS JÚNIOR,GEIBEL SANTOS REIS CHAVES,RICARDO ZANTIEFF TOPOLSKI SOLLA,DAVI JORGE FONTOURA CANEDO,LEONARDO FERNANDES CUNHA,ANDRÉ GUSMÃO |
dc.subject.por.fl_str_mv |
Wounds and Injuries Mortality Patient Admission Time Factors Emergencies |
topic |
Wounds and Injuries Mortality Patient Admission Time Factors Emergencies |
description |
ABSTRACTObjective:to assess the impact of the shift inlet trauma patients, who underwent surgery, in-hospital mortality.Methods:a retrospective observational cohort study from November 2011 to March 2012, with data collected through electronic medical records. The following variables were statistically analyzed: age, gender, city of origin, marital status, admission to the risk classification (based on the Manchester Protocol), degree of contamination, time / admission round, admission day and hospital outcome.Results:during the study period, 563 patients injured victims underwent surgery, with a mean age of 35.5 years (± 20.7), 422 (75%) were male, with 276 (49.9%) received in the night shift and 205 (36.4%) on weekends. Patients admitted at night and on weekends had higher mortality [19 (6.9%) vs. 6 (2.2%), p=0.014, and 11 (5.4%) vs. 14 (3.9%), p=0.014, respectively]. In the multivariate analysis, independent predictors of mortality were the night admission (OR 3.15), the red risk classification (OR 4.87), and age (OR 1.17).Conclusion:the admission of night shift and weekend patients was associated with more severe and presented higher mortality rate. Admission to the night shift was an independent factor of surgical mortality in trauma patients, along with the red risk classification and age. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000500209 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000500209 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-69912015004003 |
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.42 n.4 2015 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 |
institution |
CBC |
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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1754209213118152704 |