Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients
ABSTRACT Purpose: to trauma quality indicators as a tool to identify opportunities of improvement in elderly trauma patient’s’ treatment. Methods: prospective analysis of data collected between 2014-2015, and stored in the iTreg software (by Ecossistemas). Trauma victims, aged older than 60 year...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgiões
2020-08-01
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100187&tlng=en |
| _version_ | 1818730949602443264 |
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| author | PEDRO DE SOUZA LUCARELLI-ANTUNES LUCA GIOVANNI ANTONIO PIVETTA JOSÉ GUSTAVO PARREIRA JOSÉ CÉSAR ASSEF |
| author_facet | PEDRO DE SOUZA LUCARELLI-ANTUNES LUCA GIOVANNI ANTONIO PIVETTA JOSÉ GUSTAVO PARREIRA JOSÉ CÉSAR ASSEF |
| author_sort | PEDRO DE SOUZA LUCARELLI-ANTUNES |
| collection | DOAJ |
| description | ABSTRACT Purpose: to trauma quality indicators as a tool to identify opportunities of improvement in elderly trauma patient’s’ treatment. Methods: prospective analysis of data collected between 2014-2015, and stored in the iTreg software (by Ecossistemas). Trauma victims, aged older than 60 years and trauma quality indicators were assessed, based on those supported by SBAIT in 2013: (F1) Acute subdural hematoma drainage after 4 hours from admission, in patients with GCS<9; (F2) emergency room transference without definitive airway and GCS <9; (F3) Re-intubation within 48 hours from extubation; (F4) Admission-laparotomy time greater than 60 min. in hemodynamically uinstable patients with abdominal bleeding; (F5) Unprogrammed reoperation; (F6) Laparotomy after 4 hours from admission; (F7) Unfixed femur diaphyseal fracture; (F8) Non-operative treatment for abdominal gunshot; (F9) Admission-tibial exposure fracture treatment time greater than 6 hours; (F10) Surgery after 24 from admission. The indicators, treatments, adverse effects and deaths were analyzed, using the SPSS software, and the chi-squared and Fisher tests were used to calculate the statistical relevance. Results: from the 92 cases, 36 (39,1%) had complications and 15 (16,3%) died. The adequate use of quality indicator’s were substantially different among those who survived (was of 12%) compared to those who died (55,6%). The incidence of complications was of 77,8% (7/9) in patients with compromised indicators and 34,9% (28/83) in those without (p=0.017). Conclusions: trauma quality indicators are directly related with the occurrence of complications and deaths, in elderly trauma patients. |
| first_indexed | 2024-12-17T23:09:55Z |
| format | Article |
| id | doaj.art-162d30926f4045daa94f8e1972adb7b7 |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-12-17T23:09:55Z |
| publishDate | 2020-08-01 |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-162d30926f4045daa94f8e1972adb7b72022-12-21T21:29:10ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462020-08-014710.1590/0100-6991e-20202533Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patientsPEDRO DE SOUZA LUCARELLI-ANTUNEShttps://orcid.org/0000-0001-5224-9893LUCA GIOVANNI ANTONIO PIVETTAJOSÉ GUSTAVO PARREIRAJOSÉ CÉSAR ASSEFABSTRACT Purpose: to trauma quality indicators as a tool to identify opportunities of improvement in elderly trauma patient’s’ treatment. Methods: prospective analysis of data collected between 2014-2015, and stored in the iTreg software (by Ecossistemas). Trauma victims, aged older than 60 years and trauma quality indicators were assessed, based on those supported by SBAIT in 2013: (F1) Acute subdural hematoma drainage after 4 hours from admission, in patients with GCS<9; (F2) emergency room transference without definitive airway and GCS <9; (F3) Re-intubation within 48 hours from extubation; (F4) Admission-laparotomy time greater than 60 min. in hemodynamically uinstable patients with abdominal bleeding; (F5) Unprogrammed reoperation; (F6) Laparotomy after 4 hours from admission; (F7) Unfixed femur diaphyseal fracture; (F8) Non-operative treatment for abdominal gunshot; (F9) Admission-tibial exposure fracture treatment time greater than 6 hours; (F10) Surgery after 24 from admission. The indicators, treatments, adverse effects and deaths were analyzed, using the SPSS software, and the chi-squared and Fisher tests were used to calculate the statistical relevance. Results: from the 92 cases, 36 (39,1%) had complications and 15 (16,3%) died. The adequate use of quality indicator’s were substantially different among those who survived (was of 12%) compared to those who died (55,6%). The incidence of complications was of 77,8% (7/9) in patients with compromised indicators and 34,9% (28/83) in those without (p=0.017). Conclusions: trauma quality indicators are directly related with the occurrence of complications and deaths, in elderly trauma patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100187&tlng=enTraumatologyMultiple TraumaTrauma Severity IndicesQuality of Health CareAged |
| spellingShingle | PEDRO DE SOUZA LUCARELLI-ANTUNES LUCA GIOVANNI ANTONIO PIVETTA JOSÉ GUSTAVO PARREIRA JOSÉ CÉSAR ASSEF Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients Revista do Colégio Brasileiro de Cirurgiões Traumatology Multiple Trauma Trauma Severity Indices Quality of Health Care Aged |
| title | Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients |
| title_full | Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients |
| title_fullStr | Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients |
| title_full_unstemmed | Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients |
| title_short | Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients |
| title_sort | trauma quality indicators a way to identify attention points in the treatment of elderly trauma patients |
| topic | Traumatology Multiple Trauma Trauma Severity Indices Quality of Health Care Aged |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100187&tlng=en |
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