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Risk factors for death of trauma patients admitted to an Intensive Care Unit

OBJECTIVE: To analyze the risk factors for death of trauma patients admitted to the intensive care unit (ICU). METHOD: Retrospective cohort study with data from medical records of adults hospitalized for trauma in a general intensive care unit. We included patients 18 years of age and older and admi...

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Autores principales: Lentsck, Maicon Henrique, de Oliveira, Rosana Rosseto, Corona, Ligiana Pires, Mathias, Thais Aidar de Freitas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021481/
https://www.ncbi.nlm.nih.gov/pubmed/32074207
http://dx.doi.org/10.1590/1518-8345.3482.3236
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author Lentsck, Maicon Henrique
de Oliveira, Rosana Rosseto
Corona, Ligiana Pires
Mathias, Thais Aidar de Freitas
author_facet Lentsck, Maicon Henrique
de Oliveira, Rosana Rosseto
Corona, Ligiana Pires
Mathias, Thais Aidar de Freitas
author_sort Lentsck, Maicon Henrique
collection PubMed
description OBJECTIVE: To analyze the risk factors for death of trauma patients admitted to the intensive care unit (ICU). METHOD: Retrospective cohort study with data from medical records of adults hospitalized for trauma in a general intensive care unit. We included patients 18 years of age and older and admitted for injuries. The variables were grouped into levels in a hierarchical manner. The distal level included sociodemographic variables, hospitalization, cause of trauma and comorbidities; the intermediate, the characteristics of trauma and prehospital care; the proximal, the variables of prognostic indices, intensive admission, procedures and complications. Multiple logistic regression analysis was performed. RESULTS: The risk factors associated with death at the distal level were age 60 years or older and comorbidities; at intermediate level, severity of trauma and proximal level, severe circulatory complications, vasoactive drug use, mechanical ventilation, renal dysfunction, failure to perform blood culture on admission and Acute Physiology and Chronic Health Evaluation II. CONCLUSION: The identified factors are useful to compose a clinical profile and to plan intensive care to avoid complications and deaths of traumatized patients.
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spelling pubmed-70214812020-02-27 Risk factors for death of trauma patients admitted to an Intensive Care Unit Lentsck, Maicon Henrique de Oliveira, Rosana Rosseto Corona, Ligiana Pires Mathias, Thais Aidar de Freitas Rev Lat Am Enfermagem Original Article OBJECTIVE: To analyze the risk factors for death of trauma patients admitted to the intensive care unit (ICU). METHOD: Retrospective cohort study with data from medical records of adults hospitalized for trauma in a general intensive care unit. We included patients 18 years of age and older and admitted for injuries. The variables were grouped into levels in a hierarchical manner. The distal level included sociodemographic variables, hospitalization, cause of trauma and comorbidities; the intermediate, the characteristics of trauma and prehospital care; the proximal, the variables of prognostic indices, intensive admission, procedures and complications. Multiple logistic regression analysis was performed. RESULTS: The risk factors associated with death at the distal level were age 60 years or older and comorbidities; at intermediate level, severity of trauma and proximal level, severe circulatory complications, vasoactive drug use, mechanical ventilation, renal dysfunction, failure to perform blood culture on admission and Acute Physiology and Chronic Health Evaluation II. CONCLUSION: The identified factors are useful to compose a clinical profile and to plan intensive care to avoid complications and deaths of traumatized patients. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2020-02-14 /pmc/articles/PMC7021481/ /pubmed/32074207 http://dx.doi.org/10.1590/1518-8345.3482.3236 Text en Copyright © 2020 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lentsck, Maicon Henrique
de Oliveira, Rosana Rosseto
Corona, Ligiana Pires
Mathias, Thais Aidar de Freitas
Risk factors for death of trauma patients admitted to an Intensive Care Unit
title Risk factors for death of trauma patients admitted to an Intensive Care Unit
title_full Risk factors for death of trauma patients admitted to an Intensive Care Unit
title_fullStr Risk factors for death of trauma patients admitted to an Intensive Care Unit
title_full_unstemmed Risk factors for death of trauma patients admitted to an Intensive Care Unit
title_short Risk factors for death of trauma patients admitted to an Intensive Care Unit
title_sort risk factors for death of trauma patients admitted to an intensive care unit
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021481/
https://www.ncbi.nlm.nih.gov/pubmed/32074207
http://dx.doi.org/10.1590/1518-8345.3482.3236
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