Navegando por Palavras-chave "External causes"

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    Hospital morbidity of injured motorcyclists: factors associated with length of stay
    (Univ Fed Sao Paulo, Dept Enfermagen, 2016) de Araujo, Giane Leandro; Whitaker, Iveth Yamaguchi [UNIFESP]
    Objective: Identify factors of injured motorcyclists associated with hospital length of stay. Methods: A retrospective cross-sectional study of motorcyclists with acute traumatic injury admitted to three reference trauma hospitals in Sao Paulo. Medical records of patients and necropsy reports were analyzed to extract variables that could be associated with length of stay, followed by an analysis by multiple linear regression to verify associated factors. Results: One analysis of 91 motorcyclists showed that the following were associated with long length of stay (p<0.05): increased severity of trauma and infectious complications, pressure ulcers, rhabdomyolysis, and acute respiratory distress syndrome. Pressure ulcers and surgical site infections were predictors of long length of stay and death was a predictor of reduced length of stay. Conclusion: The factors associated with length of stay resulted from both traumatic injury and the care provided to injured motorcyclists.
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    Morbidade hospitalar decorrente de lesões traumáticas: análise dos fatores de risco relacionados às complicações
    (Universidade Federal de São Paulo (UNIFESP), 2014-10-29) Aguiar Junior, Wagner de [UNIFESP]; Whitaker, Iveth Yamaguchi [UNIFESP]; http://lattes.cnpq.br/4954772252354513; Universidade Federal de São Paulo (UNIFESP)
    Complications that arise during treatment of traumatic injuries are major causes of morbidity and mortality. Objective: To identify the complications and risk factors related to complications in trauma patients during hospitalization. Method: Retrospective observational study based on secondary data, conducted in a university hospital in São Paulo. The sample consisted of trauma patients treated in the emergency room and hospitalized in 2011, whose medical records were available for consultation. In the data analysis the complications were considered as the dependent variable and using the chi-square or Fisher's exact, Student t test or Mann-Whitney test, Mantel-Haenszel and logistic regression were applied. Results: The sample consisted of 407 patients and 194 (47.66%) had records of 500 complications, the most frequent infectious (41.80%), renal and metabolic (12.20%) and lung (10,00%). The occurrence of complications was statistically significant with increasing age (p = 0.037) in patients with burns (p <0.001) and those who died (p <0.001), and when two or more operations were performed (p <0.001). Patients with complications remained hospitalized twice the time and the higher the severity of the trauma greater number of patients with complications (p <0.001). The final model of logistic regression indicated age (OR = 1.02), length of hospital stay (OR = 1.02), burns (OR = 3.91) and falls (OR = 3.09) with scores < 8 on the Glasgow Coma Scale (OR = 4.25) and ISS scores between 25 and 40 (OR 8.58) and between 16 and 24 (OR = 2.46) as risk factors for posttraumatic complications factors during period of hospitalization. Conclusion: Infectious complications were the most frequent and before the identified risk factors, underscores the importance of surveillance and preventive measures in reducing complications in hospitalized trauma patients.