Does rurality affect the outcome of trauma patients?.

Detalhes bibliográficos
Autor(a) principal: Gomes, Ernestina
Data de Publicação: 2011
Outros Autores: Moreira, Daniela, Chaló, Daniela, Dias, Cláudia, Neutel, Elisabete, Aragão, Irene, Costa-Pereira, Altamiro
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/340
Resumo: To determine the impact of rurality in epidemiology, injury severity, health care facilities, length of stay, mortality, functional outcome and quality of life in severe trauma patients.All trauma patients admitted in our Emergency Room between 2001 and 2007. Data was collected from the prospective Trauma Registry and Follow-Up Registry 6 months after the accident. Patients were divided in three groups according to residence area: R (rural), SU (semi-urban) and U (urban). Sex, age, type of injury, length of stay in hospital and intensive care, anatomic severity (AIS), politrauma severity (ISS), physiologic severity (RTS), surveillance probability (TRISS index), pre-hospital care, previous admission in other hospital, intensive care admission, Euroqol and Extended Glasgow Outcome scale and mortality were studied in order to find a relation with rurality.1150 patients were analyzed (214 rural, 219 semi-urban, 717 urban). We found a statistical significant relation between rurality and pre-hospital care with rural patients having less medical approach in pre-hospital (R group: 12,2%; SU group: 17,7%; U group: 70,1%, p < 0,001), previous admission in other hospital with rural patients being more often admitted in another hospital before transfer to the trauma centre (R group: 89,2%; SU group: 85,8%; U group: 61,9%, p < 0,001) and intensive care admission (R group: 82,2%; SU group: 78,5%; U group: 72,4%, com p < 0,006). We did not find any significant relation between other variables studied namely severity and early or late outcome.Living in rural areas does not seam to give more burden of disease to severe trauma patients. Rural patients are similar to those that live in urban areas concerning epidemiology, injury severity and outcome. Despite lack of medical pre-hospital care and higher previous admission in other hospital in rural patients, mortality between groups didn't differ in our trauma centre.
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spelling Does rurality affect the outcome of trauma patients?.O doente politraumatizado grave: implicações da ruralidade na mortalidade, incapacidade e qualidade de vida.To determine the impact of rurality in epidemiology, injury severity, health care facilities, length of stay, mortality, functional outcome and quality of life in severe trauma patients.All trauma patients admitted in our Emergency Room between 2001 and 2007. Data was collected from the prospective Trauma Registry and Follow-Up Registry 6 months after the accident. Patients were divided in three groups according to residence area: R (rural), SU (semi-urban) and U (urban). Sex, age, type of injury, length of stay in hospital and intensive care, anatomic severity (AIS), politrauma severity (ISS), physiologic severity (RTS), surveillance probability (TRISS index), pre-hospital care, previous admission in other hospital, intensive care admission, Euroqol and Extended Glasgow Outcome scale and mortality were studied in order to find a relation with rurality.1150 patients were analyzed (214 rural, 219 semi-urban, 717 urban). We found a statistical significant relation between rurality and pre-hospital care with rural patients having less medical approach in pre-hospital (R group: 12,2%; SU group: 17,7%; U group: 70,1%, p < 0,001), previous admission in other hospital with rural patients being more often admitted in another hospital before transfer to the trauma centre (R group: 89,2%; SU group: 85,8%; U group: 61,9%, p < 0,001) and intensive care admission (R group: 82,2%; SU group: 78,5%; U group: 72,4%, com p < 0,006). We did not find any significant relation between other variables studied namely severity and early or late outcome.Living in rural areas does not seam to give more burden of disease to severe trauma patients. Rural patients are similar to those that live in urban areas concerning epidemiology, injury severity and outcome. Despite lack of medical pre-hospital care and higher previous admission in other hospital in rural patients, mortality between groups didn't differ in our trauma centre.To determine the impact of rurality in epidemiology, injury severity, health care facilities, length of stay, mortality, functional outcome and quality of life in severe trauma patients.All trauma patients admitted in our Emergency Room between 2001 and 2007. Data was collected from the prospective Trauma Registry and Follow-Up Registry 6 months after the accident. Patients were divided in three groups according to residence area: R (rural), SU (semi-urban) and U (urban). Sex, age, type of injury, length of stay in hospital and intensive care, anatomic severity (AIS), politrauma severity (ISS), physiologic severity (RTS), surveillance probability (TRISS index), pre-hospital care, previous admission in other hospital, intensive care admission, Euroqol and Extended Glasgow Outcome scale and mortality were studied in order to find a relation with rurality.1150 patients were analyzed (214 rural, 219 semi-urban, 717 urban). We found a statistical significant relation between rurality and pre-hospital care with rural patients having less medical approach in pre-hospital (R group: 12,2%; SU group: 17,7%; U group: 70,1%, p < 0,001), previous admission in other hospital with rural patients being more often admitted in another hospital before transfer to the trauma centre (R group: 89,2%; SU group: 85,8%; U group: 61,9%, p < 0,001) and intensive care admission (R group: 82,2%; SU group: 78,5%; U group: 72,4%, com p < 0,006). We did not find any significant relation between other variables studied namely severity and early or late outcome.Living in rural areas does not seam to give more burden of disease to severe trauma patients. Rural patients are similar to those that live in urban areas concerning epidemiology, injury severity and outcome. Despite lack of medical pre-hospital care and higher previous admission in other hospital in rural patients, mortality between groups didn't differ in our trauma centre.Ordem dos Médicos2011-02-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/340oai:ojs.www.actamedicaportuguesa.com:article/340Acta Médica Portuguesa; Vol. 24 No. 1 (2011): January-February; 81-90Acta Médica Portuguesa; Vol. 24 N.º 1 (2011): Janeiro-Fevereiro; 81-901646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/340https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/340/110Gomes, ErnestinaMoreira, DanielaChaló, DanielaDias, CláudiaNeutel, ElisabeteAragão, IreneCosta-Pereira, Altamiroinfo:eu-repo/semantics/openAccess2022-12-20T10:56:07Zoai:ojs.www.actamedicaportuguesa.com:article/340Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:29.215737Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Does rurality affect the outcome of trauma patients?.
O doente politraumatizado grave: implicações da ruralidade na mortalidade, incapacidade e qualidade de vida.
title Does rurality affect the outcome of trauma patients?.
spellingShingle Does rurality affect the outcome of trauma patients?.
Gomes, Ernestina
title_short Does rurality affect the outcome of trauma patients?.
title_full Does rurality affect the outcome of trauma patients?.
title_fullStr Does rurality affect the outcome of trauma patients?.
title_full_unstemmed Does rurality affect the outcome of trauma patients?.
title_sort Does rurality affect the outcome of trauma patients?.
author Gomes, Ernestina
author_facet Gomes, Ernestina
Moreira, Daniela
Chaló, Daniela
Dias, Cláudia
Neutel, Elisabete
Aragão, Irene
Costa-Pereira, Altamiro
author_role author
author2 Moreira, Daniela
Chaló, Daniela
Dias, Cláudia
Neutel, Elisabete
Aragão, Irene
Costa-Pereira, Altamiro
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gomes, Ernestina
Moreira, Daniela
Chaló, Daniela
Dias, Cláudia
Neutel, Elisabete
Aragão, Irene
Costa-Pereira, Altamiro
description To determine the impact of rurality in epidemiology, injury severity, health care facilities, length of stay, mortality, functional outcome and quality of life in severe trauma patients.All trauma patients admitted in our Emergency Room between 2001 and 2007. Data was collected from the prospective Trauma Registry and Follow-Up Registry 6 months after the accident. Patients were divided in three groups according to residence area: R (rural), SU (semi-urban) and U (urban). Sex, age, type of injury, length of stay in hospital and intensive care, anatomic severity (AIS), politrauma severity (ISS), physiologic severity (RTS), surveillance probability (TRISS index), pre-hospital care, previous admission in other hospital, intensive care admission, Euroqol and Extended Glasgow Outcome scale and mortality were studied in order to find a relation with rurality.1150 patients were analyzed (214 rural, 219 semi-urban, 717 urban). We found a statistical significant relation between rurality and pre-hospital care with rural patients having less medical approach in pre-hospital (R group: 12,2%; SU group: 17,7%; U group: 70,1%, p < 0,001), previous admission in other hospital with rural patients being more often admitted in another hospital before transfer to the trauma centre (R group: 89,2%; SU group: 85,8%; U group: 61,9%, p < 0,001) and intensive care admission (R group: 82,2%; SU group: 78,5%; U group: 72,4%, com p < 0,006). We did not find any significant relation between other variables studied namely severity and early or late outcome.Living in rural areas does not seam to give more burden of disease to severe trauma patients. Rural patients are similar to those that live in urban areas concerning epidemiology, injury severity and outcome. Despite lack of medical pre-hospital care and higher previous admission in other hospital in rural patients, mortality between groups didn't differ in our trauma centre.
publishDate 2011
dc.date.none.fl_str_mv 2011-02-28
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 24 No. 1 (2011): January-February; 81-90
Acta Médica Portuguesa; Vol. 24 N.º 1 (2011): Janeiro-Fevereiro; 81-90
1646-0758
0870-399X
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