Factors associated with death or volume replacement in patients with trauma due to penetrating injuries
| Main Author: | |
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| Publication Date: | 2016 |
| Other Authors: | , , , , |
| Format: | Article |
| Language: | eng |
| Source: | Repositório Institucional da Universidade Federal do Ceará (UFC) |
| Download full: | http://www.repositorio.ufc.br/handle/riufc/19839 |
Summary: | Objective: to evaluate the prognostic factors of volume replacement in patients with trauma due to penetrating injuries. Methods: retrospective cohort study whose data were obtained by analyzing medical records of 544 patients who were admitted to the emergency unit, victims of penetrating trauma. Results : among the victims, 282 (51.9%) suffered stab wound, 262 (48.2%) injury by firearms, 486 (89.3%) were male, 382 (70.2%) were aged between 14 and 30 years. Most who received volume greater than 2000ml, systolic blood pressure ≤90mmHg and mean arterial pressure ≤65mmHg presented more mortality, with p <0.05, p <0.002 and p <0.003, respectively. Conclusion: the limited volume replacement can help in the good prognosis of victims of penetrating trauma. |
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Travassos, Márcia Cristine PiresSilva, Isabel Cristina Bandeira daLima, João Paulo Bessa deFonseca, Celso MartinsSachett, Jacqueline de Almeida GonçalvesOsis, Sibila Lilian2016-09-28T16:21:42Z2016-09-28T16:21:42Z2016-07TRAVASSOS, M. C. P. et al. Factors associated with death or volume replacement in patients with trauma due to penetrating injurie. Rev Rene, Fortaleza, v. 17, n. 4, p. 520-8, jul./aug. 2016.2175-6783 On-linehttp://www.repositorio.ufc.br/handle/riufc/19839Objective: to evaluate the prognostic factors of volume replacement in patients with trauma due to penetrating injuries. Methods: retrospective cohort study whose data were obtained by analyzing medical records of 544 patients who were admitted to the emergency unit, victims of penetrating trauma. Results : among the victims, 282 (51.9%) suffered stab wound, 262 (48.2%) injury by firearms, 486 (89.3%) were male, 382 (70.2%) were aged between 14 and 30 years. Most who received volume greater than 2000ml, systolic blood pressure ≤90mmHg and mean arterial pressure ≤65mmHg presented more mortality, with p <0.05, p <0.002 and p <0.003, respectively. Conclusion: the limited volume replacement can help in the good prognosis of victims of penetrating trauma.Objetivo: avaliar os fatores prognósticos da reposição volêmica em pacientes com trauma por lesões penetrantes. Métodos: estudo de coorte retrospectiva cujos dados foram obtidos através da análise de prontuários de 544 pacientes que deram entrada no serviço de emergência, vítimas de traumatismo penetrante. Resultados : dentre as vítimas, 282 (51,9%) sofreram ferimento por arma branca, 262 (48,2%) ferimento por arma de fogo, 486 (89,3%) eram do sexo masculino, com idade entre 14 e 30 anos 382 (70,2%). A maioria que recebeu fluído maior que 2000ml, pressão arterial sistólica ≤90mmHg e pressão arterial média ≤65mmHg, apresentou mais mortalidade, com valor de p<0,05, p<0,002 e p<0,003, respectivamente. Conclusão: a reposição volêmica limitada pode auxiliar no bom prognóstico do paciente vítima de trauma penetrante.Rev RenePrognóstico TraumaFerimentos PenetrantesFactors associated with death or volume replacement in patients with trauma due to penetrating injuriesFatores associados ao óbito e à reposição volêmica em pacientes com trauma por lesões penetrantesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleengreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccessORIGINAL2016_art_mcptravassos.pdf2016_art_mcptravassos.pdfapplication/pdf257212http://repositorio.ufc.br/bitstream/riufc/19839/1/2016_art_mcptravassos.pdf18bc396c10691e10c3793d407f48b038MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repositorio.ufc.br/bitstream/riufc/19839/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52riufc/198392019-02-06 08:02:49.841oai:repositorio.ufc.br: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Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2019-02-06T11:02:49Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false |
| dc.title.pt_BR.fl_str_mv |
Factors associated with death or volume replacement in patients with trauma due to penetrating injuries |
| dc.title.alternative.pt_BR.fl_str_mv |
Fatores associados ao óbito e à reposição volêmica em pacientes com trauma por lesões penetrantes |
| title |
Factors associated with death or volume replacement in patients with trauma due to penetrating injuries |
| spellingShingle |
Factors associated with death or volume replacement in patients with trauma due to penetrating injuries Travassos, Márcia Cristine Pires Prognóstico Trauma Ferimentos Penetrantes |
| title_short |
Factors associated with death or volume replacement in patients with trauma due to penetrating injuries |
| title_full |
Factors associated with death or volume replacement in patients with trauma due to penetrating injuries |
| title_fullStr |
Factors associated with death or volume replacement in patients with trauma due to penetrating injuries |
| title_full_unstemmed |
Factors associated with death or volume replacement in patients with trauma due to penetrating injuries |
| title_sort |
Factors associated with death or volume replacement in patients with trauma due to penetrating injuries |
| author |
Travassos, Márcia Cristine Pires |
| author_facet |
Travassos, Márcia Cristine Pires Silva, Isabel Cristina Bandeira da Lima, João Paulo Bessa de Fonseca, Celso Martins Sachett, Jacqueline de Almeida Gonçalves Osis, Sibila Lilian |
| author_role |
author |
| author2 |
Silva, Isabel Cristina Bandeira da Lima, João Paulo Bessa de Fonseca, Celso Martins Sachett, Jacqueline de Almeida Gonçalves Osis, Sibila Lilian |
| author2_role |
author author author author author |
| dc.contributor.author.fl_str_mv |
Travassos, Márcia Cristine Pires Silva, Isabel Cristina Bandeira da Lima, João Paulo Bessa de Fonseca, Celso Martins Sachett, Jacqueline de Almeida Gonçalves Osis, Sibila Lilian |
| dc.subject.por.fl_str_mv |
Prognóstico Trauma Ferimentos Penetrantes |
| topic |
Prognóstico Trauma Ferimentos Penetrantes |
| description |
Objective: to evaluate the prognostic factors of volume replacement in patients with trauma due to penetrating injuries. Methods: retrospective cohort study whose data were obtained by analyzing medical records of 544 patients who were admitted to the emergency unit, victims of penetrating trauma. Results : among the victims, 282 (51.9%) suffered stab wound, 262 (48.2%) injury by firearms, 486 (89.3%) were male, 382 (70.2%) were aged between 14 and 30 years. Most who received volume greater than 2000ml, systolic blood pressure ≤90mmHg and mean arterial pressure ≤65mmHg presented more mortality, with p <0.05, p <0.002 and p <0.003, respectively. Conclusion: the limited volume replacement can help in the good prognosis of victims of penetrating trauma. |
| publishDate |
2016 |
| dc.date.accessioned.fl_str_mv |
2016-09-28T16:21:42Z |
| dc.date.available.fl_str_mv |
2016-09-28T16:21:42Z |
| dc.date.issued.fl_str_mv |
2016-07 |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
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publishedVersion |
| dc.identifier.citation.fl_str_mv |
TRAVASSOS, M. C. P. et al. Factors associated with death or volume replacement in patients with trauma due to penetrating injurie. Rev Rene, Fortaleza, v. 17, n. 4, p. 520-8, jul./aug. 2016. |
| dc.identifier.uri.fl_str_mv |
http://www.repositorio.ufc.br/handle/riufc/19839 |
| dc.identifier.issn.none.fl_str_mv |
2175-6783 On-line |
| identifier_str_mv |
TRAVASSOS, M. C. P. et al. Factors associated with death or volume replacement in patients with trauma due to penetrating injurie. Rev Rene, Fortaleza, v. 17, n. 4, p. 520-8, jul./aug. 2016. 2175-6783 On-line |
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http://www.repositorio.ufc.br/handle/riufc/19839 |
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eng |
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Rev Rene |
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Rev Rene |
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