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Entrapped victims in motor vehicle collisions: characteristics and prehospital care in the city of São Paulo, Brazil

OBJECTIVE: To examine the severity of trauma in entrapped victims and to identify risk factors for mortality and morbidity. INTRODUCTION: Triage and rapid assessment of trauma severity is essential to provide the needed resources during prehospital and hospital phases and for outcome prediction. It...

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Autores principales: Dias, Adriano Rogério Navarro, de Campos Vieira Abib, Simone, Poli‐de‐Figueiredo, Luiz Francisco, Perfeito, João Aléssio Juliano
Formato: Texto
Lenguaje:English
Publicado: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3044585/
https://www.ncbi.nlm.nih.gov/pubmed/21437431
http://dx.doi.org/10.1590/S1807-59322011000100005
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author Dias, Adriano Rogério Navarro
de Campos Vieira Abib, Simone
Poli‐de‐Figueiredo, Luiz Francisco
Perfeito, João Aléssio Juliano
author_facet Dias, Adriano Rogério Navarro
de Campos Vieira Abib, Simone
Poli‐de‐Figueiredo, Luiz Francisco
Perfeito, João Aléssio Juliano
author_sort Dias, Adriano Rogério Navarro
collection PubMed
description OBJECTIVE: To examine the severity of trauma in entrapped victims and to identify risk factors for mortality and morbidity. INTRODUCTION: Triage and rapid assessment of trauma severity is essential to provide the needed resources during prehospital and hospital phases and for outcome prediction. It is expected that entrapped victims will have greater severity of trauma and mortality than non‐entrapped subjects. METHODS: A transverse, case–control, retrospective study of 1203 victims of motor vehicle collisions treated during 1 year by the prehospital service in São Paulo, Brazil was carried out. All patients were drivers, comprising 401 entrapped victims (33.3%) and 802 non‐entrapped consecutive controls (66.7%). Sex, age, mortality rates, Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), corporal segments, timing of the prehospital care and resource use were compared between the groups. The results were analysed by χ(2), Zres, analysis of variance and Bonferroni tests. RESULTS: Entrapped victims were predominantly men (84.8%), aged 32±13.1 years, with immediate mortality of 10.2% and overall mortality of 11.7%. They had a probability of death at the scene 8.2 times greater than that of non‐entrapped victims. The main cause of death was hemorrhage for entrapped victims (45.2%) and trauma for non‐entrapped victims. Of the entrapped victims who survived, 18.7% had a severe GCS (OR = 10.62), 12% a severe RTS (OR = 9.78) and 23.7% were in shock (OR = 3.38). Entrapped victims were more commonly transported to advanced life support units and to tertiary hospitals. CONCLUSION: Entrapped victims had greater trauma severity, more blood loss and a greater mortality than respective, non‐entrapped controls.
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spelling pubmed-30445852011-02-24 Entrapped victims in motor vehicle collisions: characteristics and prehospital care in the city of São Paulo, Brazil Dias, Adriano Rogério Navarro de Campos Vieira Abib, Simone Poli‐de‐Figueiredo, Luiz Francisco Perfeito, João Aléssio Juliano Clinics (Sao Paulo) Clinical Science OBJECTIVE: To examine the severity of trauma in entrapped victims and to identify risk factors for mortality and morbidity. INTRODUCTION: Triage and rapid assessment of trauma severity is essential to provide the needed resources during prehospital and hospital phases and for outcome prediction. It is expected that entrapped victims will have greater severity of trauma and mortality than non‐entrapped subjects. METHODS: A transverse, case–control, retrospective study of 1203 victims of motor vehicle collisions treated during 1 year by the prehospital service in São Paulo, Brazil was carried out. All patients were drivers, comprising 401 entrapped victims (33.3%) and 802 non‐entrapped consecutive controls (66.7%). Sex, age, mortality rates, Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), corporal segments, timing of the prehospital care and resource use were compared between the groups. The results were analysed by χ(2), Zres, analysis of variance and Bonferroni tests. RESULTS: Entrapped victims were predominantly men (84.8%), aged 32±13.1 years, with immediate mortality of 10.2% and overall mortality of 11.7%. They had a probability of death at the scene 8.2 times greater than that of non‐entrapped victims. The main cause of death was hemorrhage for entrapped victims (45.2%) and trauma for non‐entrapped victims. Of the entrapped victims who survived, 18.7% had a severe GCS (OR = 10.62), 12% a severe RTS (OR = 9.78) and 23.7% were in shock (OR = 3.38). Entrapped victims were more commonly transported to advanced life support units and to tertiary hospitals. CONCLUSION: Entrapped victims had greater trauma severity, more blood loss and a greater mortality than respective, non‐entrapped controls. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2011-01 /pmc/articles/PMC3044585/ /pubmed/21437431 http://dx.doi.org/10.1590/S1807-59322011000100005 Text en Copyright © 2011 Hospital das Clínicas da FMUSP http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Science
Dias, Adriano Rogério Navarro
de Campos Vieira Abib, Simone
Poli‐de‐Figueiredo, Luiz Francisco
Perfeito, João Aléssio Juliano
Entrapped victims in motor vehicle collisions: characteristics and prehospital care in the city of São Paulo, Brazil
title Entrapped victims in motor vehicle collisions: characteristics and prehospital care in the city of São Paulo, Brazil
title_full Entrapped victims in motor vehicle collisions: characteristics and prehospital care in the city of São Paulo, Brazil
title_fullStr Entrapped victims in motor vehicle collisions: characteristics and prehospital care in the city of São Paulo, Brazil
title_full_unstemmed Entrapped victims in motor vehicle collisions: characteristics and prehospital care in the city of São Paulo, Brazil
title_short Entrapped victims in motor vehicle collisions: characteristics and prehospital care in the city of São Paulo, Brazil
title_sort entrapped victims in motor vehicle collisions: characteristics and prehospital care in the city of são paulo, brazil
topic Clinical Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3044585/
https://www.ncbi.nlm.nih.gov/pubmed/21437431
http://dx.doi.org/10.1590/S1807-59322011000100005
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