In-hospital Complications in Trauma Patients According to Injury Severity

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorLOPES, Maria Carolina Barbosa Teixeira
dc.contributor.authorAGUIAR, Wagner de
dc.contributor.authorWHITAKER, Iveth Yamaguchi
dc.date.accessioned2019-03-26T14:46:47Z
dc.date.available2019-03-26T14:46:47Z
dc.date.issued2019
dc.description.abstractIn-hospital complications in trauma patients are frequent and associated with increased morbidity and mortality. The aim of this study was to analyze the association between posttraumatic complications and the injured body region, injury and trauma severity, length of stay, and mortality in hospitalized trauma patients. This observational and retrospective study included 147 trauma patients with posttraumatic complications hospitalized in a university hospital located in Sao Paulo, Brazil. The injury and trauma severity was measured using the Abbreviated Injury Scale (AIS) and the Injury Severity Score (ISS), respectively. The association between variables was verified applying chi(2) test, Fisher exact text, likelihood ratio, and Mann-Whitney U test, considering significance level of 5%. The most frequent in-hospital complications were infectious, cardiovascular, metabolic, and renal. Patients with head injury AIS score of 3 or more had higher percentage of neurological complications and those with lower extremity injury AIS score of less than 3 had higher percentage of metabolic and renal complications. There was no association between thoracic injury and cardiovascular complications, nor between types of complications and trauma severity (ISS). Patients without cardiovascular complication and those with infections had longer hospital length of stay, and mortality was higher in those with cardiovascular complications. Complication's studies in trauma patients may contribute to identify events related with poor outcome and to implement specific measures for improving quality of trauma care and patient security.eng
dc.description.indexMEDLINEeng
dc.identifier.citationJOURNAL OF TRAUMA NURSING, v.26, n.1, p.10-16, 2019
dc.identifier.doi10.1097/JTN.0000000000000411
dc.identifier.eissn1932-3883
dc.identifier.issn1078-7496
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/31315
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINSeng
dc.relation.ispartofJournal of Trauma Nursing
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINSeng
dc.subjectComplicationseng
dc.subjectEmergency nursingeng
dc.subjectTraumaeng
dc.subjectTrauma severity indiceseng
dc.subject.otherlength-of-stayeng
dc.subject.otherquality indicatorseng
dc.subject.otherbrain-injuryeng
dc.subject.othermortalityeng
dc.subject.otheroutcomeseng
dc.subject.othercareeng
dc.subject.otherinfectionseng
dc.subject.othervalidationeng
dc.subject.otherevaluateeng
dc.subject.wosCritical Care Medicineeng
dc.subject.wosNursingeng
dc.titleIn-hospital Complications in Trauma Patients According to Injury Severityeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalLOPES, Maria Carolina Barbosa Teixeira:Univ Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, Brazil
hcfmusp.author.externalWHITAKER, Iveth Yamaguchi:Univ Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, Brazil
hcfmusp.citation.scopus12
hcfmusp.contributor.author-fmusphcWAGNER DE AGUIAR JUNIOR
hcfmusp.description.beginpage10
hcfmusp.description.endpage16
hcfmusp.description.issue1
hcfmusp.description.volume26
hcfmusp.origemWOS
hcfmusp.origem.pubmed30624377
hcfmusp.origem.scopus2-s2.0-85059797211
hcfmusp.origem.wosWOS:000457569100003
hcfmusp.publisher.cityPHILADELPHIAeng
hcfmusp.publisher.countryUSAeng
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