Analysis of the efficiency of an emergency network for the treatment of multiple burn victims.

Autor:	Botelho Filho FM; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Marçal IM; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Roa L; Harvard Medical School, Program in Global Surgery and Social Change, Boston, Massachusetts, Estados Unidos da América., Marinho AG; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Ruiz GZL; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Lopes LMC; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Brenck LF; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Campos JL; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Rabelo LMM; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Chaves TV; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Dias LSB; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Santos APR; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Tolentino LB; Hospital João XXIII, Grupo de Pesquisa em Trauma Pediátrico, Belo Horizonte, MG, Brasil., Alonso N; Harvard Medical School, Program in Global Surgery and Social Change, Boston, Massachusetts, Estados Unidos da América.
Jazyk:	Portuguese; English
Zdroj:	Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2019; Vol. 46 (2), pp. e2115. Date of Electronic Publication: 2019 Apr 18.
DOI:	10.1590/0100-6991e-20192115
Abstrakt:	Objective: to evaluate the effectiveness of the adopted strategy and the care quality for pediatric trauma in the survival of patients attended after a disaster in a city in the interior of Minas Gerais state, compared to the expected results of studies on infant mortality in major burns. Methods: retrospective observational analysis of ten patients who were burned and transferred to a trauma reference center. We used the modified R-Baux score to estimate the expected mortality. We compared the expected mortality predicted by R-Baux score and the actual mortality determined from one-ratio test. We also compared time of post-trauma admission with mortality and burned body surface area with mortality. Results: mean R-Baux score was 75.2, which means an expected mortality of 5% among major burn patients. However, in this study, mortality in the group of children with large burned body surface area was of 60%, p=0.001, a rate far beyond that expected in literature. Conclusion: despite the innumerable variables, we consider the hypothesis of the pediatric trauma care infrastructure being inferior than the one needed in the state. This study suggests a greater incentive for public policies concerning pediatric trauma care, prepared referral center, well-established transfer agreements, and optimization of catastrophe plans, in order to reduce morbimortality of patients who survive the first hour after trauma.
Databáze:	MEDLINE
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