Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients

Detalhes bibliográficos
Autor(a) principal: LUCARELLI-ANTUNES,PEDRO DE SOUZA
Data de Publicação: 2020
Outros Autores: PIVETTA,LUCA GIOVANNI ANTONIO, PARREIRA,JOSÉ GUSTAVO, ASSEF,JOSÉ CÉSAR
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=S0100-69912020000100187
Resumo: ABSTRACT Purpose: to trauma quality indicators as a tool to identify opportunities of improvement in elderly trauma patient’s’ treatment. Methods: prospective analysis of data collected between 2014-2015, and stored in the iTreg software (by Ecossistemas). Trauma victims, aged older than 60 years and trauma quality indicators were assessed, based on those supported by SBAIT in 2013: (F1) Acute subdural hematoma drainage after 4 hours from admission, in patients with GCS<9; (F2) emergency room transference without definitive airway and GCS <9; (F3) Re-intubation within 48 hours from extubation; (F4) Admission-laparotomy time greater than 60 min. in hemodynamically uinstable patients with abdominal bleeding; (F5) Unprogrammed reoperation; (F6) Laparotomy after 4 hours from admission; (F7) Unfixed femur diaphyseal fracture; (F8) Non-operative treatment for abdominal gunshot; (F9) Admission-tibial exposure fracture treatment time greater than 6 hours; (F10) Surgery after 24 from admission. The indicators, treatments, adverse effects and deaths were analyzed, using the SPSS software, and the chi-squared and Fisher tests were used to calculate the statistical relevance. Results: from the 92 cases, 36 (39,1%) had complications and 15 (16,3%) died. The adequate use of quality indicator’s were substantially different among those who survived (was of 12%) compared to those who died (55,6%). The incidence of complications was of 77,8% (7/9) in patients with compromised indicators and 34,9% (28/83) in those without (p=0.017). Conclusions: trauma quality indicators are directly related with the occurrence of complications and deaths, in elderly trauma patients.
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spelling Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patientsTraumatologyMultiple TraumaTrauma Severity IndicesQuality of Health CareAgedABSTRACT Purpose: to trauma quality indicators as a tool to identify opportunities of improvement in elderly trauma patient’s’ treatment. Methods: prospective analysis of data collected between 2014-2015, and stored in the iTreg software (by Ecossistemas). Trauma victims, aged older than 60 years and trauma quality indicators were assessed, based on those supported by SBAIT in 2013: (F1) Acute subdural hematoma drainage after 4 hours from admission, in patients with GCS<9; (F2) emergency room transference without definitive airway and GCS <9; (F3) Re-intubation within 48 hours from extubation; (F4) Admission-laparotomy time greater than 60 min. in hemodynamically uinstable patients with abdominal bleeding; (F5) Unprogrammed reoperation; (F6) Laparotomy after 4 hours from admission; (F7) Unfixed femur diaphyseal fracture; (F8) Non-operative treatment for abdominal gunshot; (F9) Admission-tibial exposure fracture treatment time greater than 6 hours; (F10) Surgery after 24 from admission. The indicators, treatments, adverse effects and deaths were analyzed, using the SPSS software, and the chi-squared and Fisher tests were used to calculate the statistical relevance. Results: from the 92 cases, 36 (39,1%) had complications and 15 (16,3%) died. The adequate use of quality indicator’s were substantially different among those who survived (was of 12%) compared to those who died (55,6%). The incidence of complications was of 77,8% (7/9) in patients with compromised indicators and 34,9% (28/83) in those without (p=0.017). Conclusions: trauma quality indicators are directly related with the occurrence of complications and deaths, in elderly trauma patients.Colégio Brasileiro de Cirurgiões2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100187Revista do Colégio Brasileiro de Cirurgiões v.47 2020reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20202533info:eu-repo/semantics/openAccessLUCARELLI-ANTUNES,PEDRO DE SOUZAPIVETTA,LUCA GIOVANNI ANTONIOPARREIRA,JOSÉ GUSTAVOASSEF,JOSÉ CÉSAReng2020-08-19T00:00:00Zoai:scielo:S0100-69912020000100187Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2020-08-19T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients
title Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients
spellingShingle Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients
LUCARELLI-ANTUNES,PEDRO DE SOUZA
Traumatology
Multiple Trauma
Trauma Severity Indices
Quality of Health Care
Aged
title_short Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients
title_full Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients
title_fullStr Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients
title_full_unstemmed Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients
title_sort Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients
author LUCARELLI-ANTUNES,PEDRO DE SOUZA
author_facet LUCARELLI-ANTUNES,PEDRO DE SOUZA
PIVETTA,LUCA GIOVANNI ANTONIO
PARREIRA,JOSÉ GUSTAVO
ASSEF,JOSÉ CÉSAR
author_role author
author2 PIVETTA,LUCA GIOVANNI ANTONIO
PARREIRA,JOSÉ GUSTAVO
ASSEF,JOSÉ CÉSAR
author2_role author
author
author
dc.contributor.author.fl_str_mv LUCARELLI-ANTUNES,PEDRO DE SOUZA
PIVETTA,LUCA GIOVANNI ANTONIO
PARREIRA,JOSÉ GUSTAVO
ASSEF,JOSÉ CÉSAR
dc.subject.por.fl_str_mv Traumatology
Multiple Trauma
Trauma Severity Indices
Quality of Health Care
Aged
topic Traumatology
Multiple Trauma
Trauma Severity Indices
Quality of Health Care
Aged
description ABSTRACT Purpose: to trauma quality indicators as a tool to identify opportunities of improvement in elderly trauma patient’s’ treatment. Methods: prospective analysis of data collected between 2014-2015, and stored in the iTreg software (by Ecossistemas). Trauma victims, aged older than 60 years and trauma quality indicators were assessed, based on those supported by SBAIT in 2013: (F1) Acute subdural hematoma drainage after 4 hours from admission, in patients with GCS<9; (F2) emergency room transference without definitive airway and GCS <9; (F3) Re-intubation within 48 hours from extubation; (F4) Admission-laparotomy time greater than 60 min. in hemodynamically uinstable patients with abdominal bleeding; (F5) Unprogrammed reoperation; (F6) Laparotomy after 4 hours from admission; (F7) Unfixed femur diaphyseal fracture; (F8) Non-operative treatment for abdominal gunshot; (F9) Admission-tibial exposure fracture treatment time greater than 6 hours; (F10) Surgery after 24 from admission. The indicators, treatments, adverse effects and deaths were analyzed, using the SPSS software, and the chi-squared and Fisher tests were used to calculate the statistical relevance. Results: from the 92 cases, 36 (39,1%) had complications and 15 (16,3%) died. The adequate use of quality indicator’s were substantially different among those who survived (was of 12%) compared to those who died (55,6%). The incidence of complications was of 77,8% (7/9) in patients with compromised indicators and 34,9% (28/83) in those without (p=0.017). Conclusions: trauma quality indicators are directly related with the occurrence of complications and deaths, in elderly trauma patients.
publishDate 2020
dc.date.none.fl_str_mv 2020-01-01
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publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
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