| Autor: |
Viel IL; Hospital Alemão Oswaldo Cruz, Sao Paulo, SP, Brazil (Ms Viel); and School of Nursing, University of São Paulo, Sao Paulo, SP, Brazil (Ms Moura, Mr Martuchi, and Dr Nogueira)., Moura BRS, Martuchi SD, de Souza Nogueira L |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of trauma nursing : the official journal of the Society of Trauma Nurses [J Trauma Nurs] 2019 Sep/Oct; Vol. 26 (5), pp. 257-262. |
| DOI: |
10.1097/JTN.0000000000000452 |
| Abstrakt: |
This study aimed to identify the factors associated with interhospital transfer of trauma victims treated in the emergency department of a nontertiary hospital. Retrospective analysis of medical records of trauma victims treated from January to July 2014 in the emergency department of a hospital not specialized in trauma care and located in Brazil was undertaken. The inclusion criteria were as follows: being 15 years or older; being a trauma victim; having received prehospital care; and being admitted to the hospital directly from the scene of the accident. Pearson's chi-square, Mann-Whitney U, Fisher's exact tests, and multiple logistic regression were used in the analyses. The sample was made up of 246 patients, mostly men (67.9%) and blunt trauma victims (97.6%). The mean age of the trauma victims was 44.2 (SD = 22.1). Falls were the most frequent external cause (41.1%). Forty patients were transferred to a tertiary care center, mostly for orthopedic treatment (70%). The factors associated with interhospital transfer of victims were severity of the trauma according to the Injury Severity Score ([ISS]; mean ±SD of ISS = 8.1 ± 4.5; odds ratio = 1.14; 95% confidence interval [1.06, 1.24]; p = .001) and extremities/pelvic girdle as the body region most severely injured (mean ±SD of extremities/pelvic girdle Abbreviated Injury Scale score = 2.9 ± 0.5; odds ratio = 3.86; 95% confidence interval [1.71, 8.72; p = .001). Identification of the risk factors for interhospital transfer of trauma victims treated in hospitals without a trauma center provides important information for the creation of referral and counter-referral policies to facilitate the process and ensure definitive early treatment and improved patient survival. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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