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: Kanamori,Lucas R., Valinoto,Guilherme C. J., Perlingeiro,Jacqueline A. Giannini, Soldá,Silvia Cristine, 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=S0100-69912014000400285
Resumo: OBJECTIVE:to identify predictors of death in blunt trauma patients sustaining pelvic fractures and, posteriorly, compare them to a previously reported series from the same center.METHOD: Retrospective analysis of trauma registry data, including blunt trauma patients older than 14 y.o. sustaining pelvic fractures admitted from 2008 to 2010. Patients were assigned into group 1 (dead) or 2 (survivors). We used Student's t, qui square and Fisher's tests for statistical analysis, considering p<0.05 as significant. Posteriorly, we compared predictors of death between both periods.RESULTS: Seventy-nine cases were included. Mean RTS, ISS and TRISS were, respectively, 6.44 + 2.22, 28.0 + 15.2 e 0.74 + 0.33. Nineteen patients died (24,0%). Main cause of death was hemorrhage (42,1%). Group 1 was characterized by (p<0.05) lower systolic blood pressure and Glasgow coma scale means on admission, higher heart rate, head AIS, extremity AIS and ISS means, as well as, higher frequency of severe head injuries and complex pelvic fractures. Comparing both periods, we notice that the anatomic and physiologic severity of injury increased (RTS and ISS means). Furthermore, there was a decrease in the impact of associated thoracic and abdominal injuries on the prognosis and an association of lethality with the presence of complex pelvic fractures.CONCLUSION: There were significant changes in the predictors of death between these two periods. The impact of thoracic and abdominal associated injures decreased while the importance of severe retroperitoneal hemorrhage increased. There was also an increase in trauma severity, which accounted for high lethality.
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spelling Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed traumaHip fracturesFractures, closedPelvic bonesPrognosisTrauma severity índicesOBJECTIVE:to identify predictors of death in blunt trauma patients sustaining pelvic fractures and, posteriorly, compare them to a previously reported series from the same center.METHOD: Retrospective analysis of trauma registry data, including blunt trauma patients older than 14 y.o. sustaining pelvic fractures admitted from 2008 to 2010. Patients were assigned into group 1 (dead) or 2 (survivors). We used Student's t, qui square and Fisher's tests for statistical analysis, considering p<0.05 as significant. Posteriorly, we compared predictors of death between both periods.RESULTS: Seventy-nine cases were included. Mean RTS, ISS and TRISS were, respectively, 6.44 + 2.22, 28.0 + 15.2 e 0.74 + 0.33. Nineteen patients died (24,0%). Main cause of death was hemorrhage (42,1%). Group 1 was characterized by (p<0.05) lower systolic blood pressure and Glasgow coma scale means on admission, higher heart rate, head AIS, extremity AIS and ISS means, as well as, higher frequency of severe head injuries and complex pelvic fractures. Comparing both periods, we notice that the anatomic and physiologic severity of injury increased (RTS and ISS means). Furthermore, there was a decrease in the impact of associated thoracic and abdominal injuries on the prognosis and an association of lethality with the presence of complex pelvic fractures.CONCLUSION: There were significant changes in the predictors of death between these two periods. The impact of thoracic and abdominal associated injures decreased while the importance of severe retroperitoneal hemorrhage increased. There was also an increase in trauma severity, which accounted for high lethality.Colégio Brasileiro de Cirurgiões2014-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400285Revista do Colégio Brasileiro de Cirurgiões v.41 n.4 2014reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-699120140040011info:eu-repo/semantics/openAccessParreira,José GustavoKanamori,Lucas R.Valinoto,Guilherme C. J.Perlingeiro,Jacqueline A. GianniniSoldá,Silvia CristineAssef,José Cesareng2015-09-25T00:00:00Zoai:scielo:S0100-69912014000400285Revistahttp://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
Hip fractures
Fractures, closed
Pelvic bones
Prognosis
Trauma severity índices
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
Kanamori,Lucas R.
Valinoto,Guilherme C. J.
Perlingeiro,Jacqueline A. Giannini
Soldá,Silvia Cristine
Assef,José Cesar
author_role author
author2 Kanamori,Lucas R.
Valinoto,Guilherme C. J.
Perlingeiro,Jacqueline A. Giannini
Soldá,Silvia Cristine
Assef,José Cesar
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Parreira,José Gustavo
Kanamori,Lucas R.
Valinoto,Guilherme C. J.
Perlingeiro,Jacqueline A. Giannini
Soldá,Silvia Cristine
Assef,José Cesar
dc.subject.por.fl_str_mv Hip fractures
Fractures, closed
Pelvic bones
Prognosis
Trauma severity índices
topic Hip fractures
Fractures, closed
Pelvic bones
Prognosis
Trauma severity índices
description OBJECTIVE:to identify predictors of death in blunt trauma patients sustaining pelvic fractures and, posteriorly, compare them to a previously reported series from the same center.METHOD: Retrospective analysis of trauma registry data, including blunt trauma patients older than 14 y.o. sustaining pelvic fractures admitted from 2008 to 2010. Patients were assigned into group 1 (dead) or 2 (survivors). We used Student's t, qui square and Fisher's tests for statistical analysis, considering p<0.05 as significant. Posteriorly, we compared predictors of death between both periods.RESULTS: Seventy-nine cases were included. Mean RTS, ISS and TRISS were, respectively, 6.44 + 2.22, 28.0 + 15.2 e 0.74 + 0.33. Nineteen patients died (24,0%). Main cause of death was hemorrhage (42,1%). Group 1 was characterized by (p<0.05) lower systolic blood pressure and Glasgow coma scale means on admission, higher heart rate, head AIS, extremity AIS and ISS means, as well as, higher frequency of severe head injuries and complex pelvic fractures. Comparing both periods, we notice that the anatomic and physiologic severity of injury increased (RTS and ISS means). Furthermore, there was a decrease in the impact of associated thoracic and abdominal injuries on the prognosis and an association of lethality with the presence of complex pelvic fractures.CONCLUSION: There were significant changes in the predictors of death between these two periods. The impact of thoracic and abdominal associated injures decreased while the importance of severe retroperitoneal hemorrhage increased. There was also an increase in trauma severity, which accounted for high lethality.
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=S0100-69912014000400285
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400285
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0100-699120140040011
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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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)
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instname_str Colégio Brasileiro de Cirurgiões (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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