Comparative analysis of the frequency and the severity of diagnosed lesions between pedestrians struck by motor vehicles and other blunt trauma mechanisms victims.

Autor:	Parreira JG; Disciplina de Cirurgia de Urgência, Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, SP, Brasil., Martins RK; Departamento de Cirurgia, Irmandade da Santa Casa de Misericórdia de São Paulo, SP, Brasil., Slongo J; Departamento de Cirurgia, Irmandade da Santa Casa de Misericórdia de São Paulo, SP, Brasil., Perlingeiro JA; Disciplina de Cirurgia de Urgência, Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, SP, Brasil., Soldá SC; Disciplina de Cirurgia de Urgência, Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, SP, Brasil., Assef JC; Disciplina de Cirurgia de Urgência, Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, SP, Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2015 Jul-Aug; Vol. 42 (4), pp. 253-8.
DOI:	10.1590/0100-69912015004010
Abstrakt:	Objective: to compare the frequency and the severity of diagnosed injuries between pedestrians struck by motor vehicles and victims of other blunt trauma mechanisms. Methods: retrospective analysis of data from the Trauma Registry, including adult blunt trauma patients admitted from 2008 to 2010. We reviewed the mechanism of trauma, vital signs on admission and the injuries identified. Severity stratification was carried using RTS, AIS-90, ISS e TRISS. Patients were assigned into group A (pedestrians struck by motor vehicle) or B (victims of other mechanisms of blunt trauma). Variables were compared between groups. We considered p<0.05 as significant. Results: a total of 5785 cases were included, and 1217 (21,0%) of which were in group A. Pedestrians struck by vehicles presented (p<0.05) higher mean age, mean heart rate upon admission, mean ISS and mean AIS in head, thorax, abdomen and extremities, as well as lower mean Glasgow coma scale, arterial blood pressure upon admission, RTS and TRISS. They also had a higher frequency of epidural hematomas, subdural hematomas, subarachnoid hemorrhage, brain swelling, cerebral contusions, costal fractures, pneumothorax, flail chest, pulmonary contusions, as well as pelvic, superior limbs and inferior limbs fractures. Conclusion: pedestrian struck by vehicles sustained intracranial, thoracic, abdominal and extremity injuries more frequently than victims of other blunt trauma mechanism as a group. They also presented worse physiologic and anatomic severity of the trauma.
Databáze:	MEDLINE
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