Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching Hospital

Detalhes bibliográficos
Autor(a) principal: Carlucci, Marcelo T. O. [UNESP]
Data de Publicação: 2014
Outros Autores: Braz, José Reinaldo Cerqueira [UNESP], Nascimento, Paulo do [UNESP], Carvalho, Lidia R. de [UNESP], Castiglia, Yara Marcondes Machado [UNESP], Braz, Leandro Gobbo [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1371/journal.pone.0090125
http://hdl.handle.net/11449/112178
Resumo: Background: Little information on the factors influencing intraoperative cardiac arrest and its outcomes in trauma patients is available. This survey evaluated the associated factors and outcomes of intraoperative cardiac arrest in trauma patients in a Brazilian teaching hospital between 1996 and 2009.Methods: Cardiac arrest during anesthesia in trauma patients was identified from an anesthesia database. The data collected included patient demographics, ASA physical status classification, anesthesia provider information, type of surgery, surgical areas and outcome. All intraoperative cardiac arrests and deaths in trauma patients were reviewed and grouped by associated factors and also analyzed as totally anesthesia-related, partially anesthesia-related, totally surgery-related or totally trauma patient condition-related.Findings: Fifty-one cardiac arrests and 42 deaths occurred during anesthesia in trauma patients. They were associated with male patients (P<0.001) and young adults (18-35 years) (P = 0.04) with ASA physical status IV or V (P<0.001) undergoing gastroenterological or multiclinical surgeries (P<0.001). Motor vehicle crashes and violence were the main causes of trauma (P<0.001). Uncontrolled hemorrhage or head injury were the most significant associated factors of intraoperative cardiac arrest and mortality (P<0.001). All cardiac arrests and deaths reported were totally related to trauma patient condition.Conclusions: Intraoperative cardiac arrest and mortality incidence was highest in male trauma patients at a younger age with poor clinical condition, mainly related to uncontrolled hemorrhage and head injury, resulted from motor vehicle accidents and violence.
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spelling Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching HospitalBackground: Little information on the factors influencing intraoperative cardiac arrest and its outcomes in trauma patients is available. This survey evaluated the associated factors and outcomes of intraoperative cardiac arrest in trauma patients in a Brazilian teaching hospital between 1996 and 2009.Methods: Cardiac arrest during anesthesia in trauma patients was identified from an anesthesia database. The data collected included patient demographics, ASA physical status classification, anesthesia provider information, type of surgery, surgical areas and outcome. All intraoperative cardiac arrests and deaths in trauma patients were reviewed and grouped by associated factors and also analyzed as totally anesthesia-related, partially anesthesia-related, totally surgery-related or totally trauma patient condition-related.Findings: Fifty-one cardiac arrests and 42 deaths occurred during anesthesia in trauma patients. They were associated with male patients (P<0.001) and young adults (18-35 years) (P = 0.04) with ASA physical status IV or V (P<0.001) undergoing gastroenterological or multiclinical surgeries (P<0.001). Motor vehicle crashes and violence were the main causes of trauma (P<0.001). Uncontrolled hemorrhage or head injury were the most significant associated factors of intraoperative cardiac arrest and mortality (P<0.001). All cardiac arrests and deaths reported were totally related to trauma patient condition.Conclusions: Intraoperative cardiac arrest and mortality incidence was highest in male trauma patients at a younger age with poor clinical condition, mainly related to uncontrolled hemorrhage and head injury, resulted from motor vehicle accidents and violence.UNESP Univ Estadual Paulista, Botucatu Med Sch, Dept Anesthesiol, Botucatu, SP, BrazilUNESP Univ Estadual Paulista, Inst Biosci, Dept Biostat, Botucatu, SP, BrazilUNESP Univ Estadual Paulista, Botucatu Med Sch, Dept Anesthesiol, Botucatu, SP, BrazilUNESP Univ Estadual Paulista, Inst Biosci, Dept Biostat, Botucatu, SP, BrazilPublic Library ScienceUniversidade Estadual Paulista (Unesp)Carlucci, Marcelo T. O. [UNESP]Braz, José Reinaldo Cerqueira [UNESP]Nascimento, Paulo do [UNESP]Carvalho, Lidia R. de [UNESP]Castiglia, Yara Marcondes Machado [UNESP]Braz, Leandro Gobbo [UNESP]2014-12-03T13:10:29Z2014-12-03T13:10:29Z2014-02-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article5application/pdfhttp://dx.doi.org/10.1371/journal.pone.0090125Plos One. San Francisco: Public Library Science, v. 9, n. 2, 5 p., 2014.1932-6203http://hdl.handle.net/11449/11217810.1371/journal.pone.0090125WOS:000332390800080WOS000332390800080.pdf7199562550978496Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengPLOS ONE2.7661,164info:eu-repo/semantics/openAccess2024-08-14T13:20:50Zoai:repositorio.unesp.br:11449/112178Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T13:20:50Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching Hospital
title Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching Hospital
spellingShingle Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching Hospital
Carlucci, Marcelo T. O. [UNESP]
title_short Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching Hospital
title_full Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching Hospital
title_fullStr Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching Hospital
title_full_unstemmed Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching Hospital
title_sort Intraoperative Cardiac Arrest and Mortality in Trauma Patients. A 14-Yr Survey from a Brazilian Tertiary Teaching Hospital
author Carlucci, Marcelo T. O. [UNESP]
author_facet Carlucci, Marcelo T. O. [UNESP]
Braz, José Reinaldo Cerqueira [UNESP]
Nascimento, Paulo do [UNESP]
Carvalho, Lidia R. de [UNESP]
Castiglia, Yara Marcondes Machado [UNESP]
Braz, Leandro Gobbo [UNESP]
author_role author
author2 Braz, José Reinaldo Cerqueira [UNESP]
Nascimento, Paulo do [UNESP]
Carvalho, Lidia R. de [UNESP]
Castiglia, Yara Marcondes Machado [UNESP]
Braz, Leandro Gobbo [UNESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Carlucci, Marcelo T. O. [UNESP]
Braz, José Reinaldo Cerqueira [UNESP]
Nascimento, Paulo do [UNESP]
Carvalho, Lidia R. de [UNESP]
Castiglia, Yara Marcondes Machado [UNESP]
Braz, Leandro Gobbo [UNESP]
description Background: Little information on the factors influencing intraoperative cardiac arrest and its outcomes in trauma patients is available. This survey evaluated the associated factors and outcomes of intraoperative cardiac arrest in trauma patients in a Brazilian teaching hospital between 1996 and 2009.Methods: Cardiac arrest during anesthesia in trauma patients was identified from an anesthesia database. The data collected included patient demographics, ASA physical status classification, anesthesia provider information, type of surgery, surgical areas and outcome. All intraoperative cardiac arrests and deaths in trauma patients were reviewed and grouped by associated factors and also analyzed as totally anesthesia-related, partially anesthesia-related, totally surgery-related or totally trauma patient condition-related.Findings: Fifty-one cardiac arrests and 42 deaths occurred during anesthesia in trauma patients. They were associated with male patients (P<0.001) and young adults (18-35 years) (P = 0.04) with ASA physical status IV or V (P<0.001) undergoing gastroenterological or multiclinical surgeries (P<0.001). Motor vehicle crashes and violence were the main causes of trauma (P<0.001). Uncontrolled hemorrhage or head injury were the most significant associated factors of intraoperative cardiac arrest and mortality (P<0.001). All cardiac arrests and deaths reported were totally related to trauma patient condition.Conclusions: Intraoperative cardiac arrest and mortality incidence was highest in male trauma patients at a younger age with poor clinical condition, mainly related to uncontrolled hemorrhage and head injury, resulted from motor vehicle accidents and violence.
publishDate 2014
dc.date.none.fl_str_mv 2014-12-03T13:10:29Z
2014-12-03T13:10:29Z
2014-02-27
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format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1371/journal.pone.0090125
Plos One. San Francisco: Public Library Science, v. 9, n. 2, 5 p., 2014.
1932-6203
http://hdl.handle.net/11449/112178
10.1371/journal.pone.0090125
WOS:000332390800080
WOS000332390800080.pdf
7199562550978496
url http://dx.doi.org/10.1371/journal.pone.0090125
http://hdl.handle.net/11449/112178
identifier_str_mv Plos One. San Francisco: Public Library Science, v. 9, n. 2, 5 p., 2014.
1932-6203
10.1371/journal.pone.0090125
WOS:000332390800080
WOS000332390800080.pdf
7199562550978496
dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Public Library Science
publisher.none.fl_str_mv Public Library Science
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reponame:Repositório Institucional da UNESP
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