Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma
OBJECTIVE: To analyze the lesions diagnosed in victims of falls, comparing them with those diagnosed in other mechanisms of blunt trauma.METHODS: We conducted a retrospective study of trauma protocol charts (prospectively collected) from 2008 to 2010, including victims of trauma over 13 years of age...
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| Veröffentlicht in: | Revista do Colégio Brasileiro de Cirurgiões 2014-08, Vol.41 (4), p.272-277 |
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| creator | Parreira, José Gustavo Matar, Marina Raphe Tôrres, André Luis Barreto Perlingeiro, Jacqueline A. G. Solda, Silvia C. Assef, José Cesar |
| description | OBJECTIVE: To analyze the lesions diagnosed in victims of falls, comparing them with those diagnosed in other mechanisms of blunt trauma.METHODS: We conducted a retrospective study of trauma protocol charts (prospectively collected) from 2008 to 2010, including victims of trauma over 13 years of age admitted to the emergency room. The severity of injuries was stratified by the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS). Variables were compared between the group of victims of falls from height (Group 1) and the other victims of blunt trauma (Group 2). We used the Student t, chi-square and Fisher tests for comparison between groups, considering the value of p |
| doi_str_mv | 10.1590/0100-69912014004009 |
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OBJETIVO:analisar as lesões diagnosticadas nas vítimas de queda de altura, comparando-as com as diagnosticadas em outros mecanismos de trauma fechado.MÉTODOS:estudo retrospectivo dos protocolos de trauma (coletados prospectivamente) de 2008 a 2010, incluindo as vítimas de trauma fechado com idade superior a 13 anos, admitidas na sala de emergência. A gravidade das lesões foi estratificada pelo Abbreviated Injury Scale (AIS) e Injury Severity Score (ISS). As variáveis foram comparadas entre o grupo de vítimas de quedas de altura (Grupo 1) e as demais vítimas de trauma fechado (Grupo 2). Empregamos os testes t de Student, qui-quadrado e Fisher para a comparação entre os grupos, considerando o valor de p<0,05 como significativo.RESULTADOS:foram analisados 4532 casos de trauma fechado, sendo que 555 (12,2%) foram vítimas de quedas de altura. As lesões graves (AISe"3) foram observadas em extremidades (17,5%), em segmento cefálico (8,4%), torácico (5,5%) e em abdome (2,9%). As vítimas do grupo 1 apresentaram, significativamente (p<0,05), maior média etária, de AIS em extremidades/pelve, de AIS em segmento torácico e de ISS. O grupo 1 também apresentou, significativamente (p<0,05), maior frequência de intubação orotraqueal na admissão, pneumotórax, hemotórax, fraturas de costelas, drenagem de tórax, trauma raquimedular, fraturas de pelve, fraturas complexas de pelve e de fraturas em membros superiores.CONCLUSÃO:As vítimas de queda de altura apresentaram maior gravidade anatômica do trauma, maior frequência e gravidade de lesões em segmento torácico e em extremidades.]]></description><identifier>ISSN: 0100-6991</identifier><identifier>ISSN: 1809-4546</identifier><identifier>EISSN: 0100-6991</identifier><identifier>DOI: 10.1590/0100-69912014004009</identifier><language>eng</language><publisher>Colégio Brasileiro de Cirurgiões</publisher><subject>Accidents ; Bone Fractures ; External Causes ; Multiple Trauma ; Wounds and Injuries</subject><ispartof>Revista do Colégio Brasileiro de Cirurgiões, 2014-08, Vol.41 (4), p.272-277</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3149-73e9cb2a3df8f3f724b9995deb9e528353095a75dab49c1841b99f9e1bc72bcd3</citedby><cites>FETCH-LOGICAL-c3149-73e9cb2a3df8f3f724b9995deb9e528353095a75dab49c1841b99f9e1bc72bcd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids></links><search><creatorcontrib>Parreira, José Gustavo</creatorcontrib><creatorcontrib>Matar, Marina Raphe</creatorcontrib><creatorcontrib>Tôrres, André Luis Barreto</creatorcontrib><creatorcontrib>Perlingeiro, Jacqueline A. G.</creatorcontrib><creatorcontrib>Solda, Silvia C.</creatorcontrib><creatorcontrib>Assef, José Cesar</creatorcontrib><title>Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma</title><title>Revista do Colégio Brasileiro de Cirurgiões</title><description><![CDATA[OBJECTIVE: To analyze the lesions diagnosed in victims of falls, comparing them with those diagnosed in other mechanisms of blunt trauma.METHODS: We conducted a retrospective study of trauma protocol charts (prospectively collected) from 2008 to 2010, including victims of trauma over 13 years of age admitted to the emergency room. The severity of injuries was stratified by the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS). Variables were compared between the group of victims of falls from height (Group 1) and the other victims of blunt trauma (Group 2). We used the Student t, chi-square and Fisher tests for comparison between groups, considering the value of p <0.05 as significant.RESULTS: The series comprised 4,532 cases of blunt trauma, of which 555 (12.2%) were victims of falls from height. Severe lesions (AISe"3) were observed in the extremities (17.5%), in the cephalic segment (8.4%), chest (5.5%) and the abdomen (2.9%). Victims of Group 1 had significantly higher mean age, AIS in extremities / pelvis, AIS in the thoracic segment and ISS (p <0.05). The group 1 had significantly (p <0.05) higher incidence of tracheal intubation on admission, pneumothorax, hemothorax, rib fractures, chest drainage, spinal trauma, pelvic fractures, complex pelvic fractures and fractures to the upper limbs.CONCLUSION: Victims of fall from height had greater anatomic injury severity, greater frequency and severity of lesions in the thoracic segment and extremities.
OBJETIVO:analisar as lesões diagnosticadas nas vítimas de queda de altura, comparando-as com as diagnosticadas em outros mecanismos de trauma fechado.MÉTODOS:estudo retrospectivo dos protocolos de trauma (coletados prospectivamente) de 2008 a 2010, incluindo as vítimas de trauma fechado com idade superior a 13 anos, admitidas na sala de emergência. A gravidade das lesões foi estratificada pelo Abbreviated Injury Scale (AIS) e Injury Severity Score (ISS). As variáveis foram comparadas entre o grupo de vítimas de quedas de altura (Grupo 1) e as demais vítimas de trauma fechado (Grupo 2). Empregamos os testes t de Student, qui-quadrado e Fisher para a comparação entre os grupos, considerando o valor de p<0,05 como significativo.RESULTADOS:foram analisados 4532 casos de trauma fechado, sendo que 555 (12,2%) foram vítimas de quedas de altura. As lesões graves (AISe"3) foram observadas em extremidades (17,5%), em segmento cefálico (8,4%), torácico (5,5%) e em abdome (2,9%). As vítimas do grupo 1 apresentaram, significativamente (p<0,05), maior média etária, de AIS em extremidades/pelve, de AIS em segmento torácico e de ISS. O grupo 1 também apresentou, significativamente (p<0,05), maior frequência de intubação orotraqueal na admissão, pneumotórax, hemotórax, fraturas de costelas, drenagem de tórax, trauma raquimedular, fraturas de pelve, fraturas complexas de pelve e de fraturas em membros superiores.CONCLUSÃO:As vítimas de queda de altura apresentaram maior gravidade anatômica do trauma, maior frequência e gravidade de lesões em segmento torácico e em extremidades.]]></description><subject>Accidents</subject><subject>Bone Fractures</subject><subject>External Causes</subject><subject>Multiple Trauma</subject><subject>Wounds and Injuries</subject><issn>0100-6991</issn><issn>1809-4546</issn><issn>0100-6991</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkdtKAzEQhoMoWKtP4E1eoJpsEndzKcVDoeCNXi-T7KSbsrspybbStzdtpSgMzM8cvoH5Cbnn7IErzR4ZZ2z2pDUvGJeM5dAXZHKuXv7R1-QmpXWeEVyLCdnOQ7-BCKPfIYUBun3yiRocvxEH6hscRu88NtQP6230mGhwdOft6PujdNB11MXQ0xb9qh0zo6FhbDHSHm0Lg0-nQduFlDFjhG0Pt-QqLya8-81T8vX68jl_ny0_3hbz5-XMCi71rBSorSlANK5ywpWFNFpr1aDRqIpKKMG0glI1YKS2vJI8951GbmxZGNuIKVmcuE2Adb2Jvoe4rwP4-lgIcVVDHL3tsJYcCl6aCmUlJGQEVvkgWqlKUIYVmSVOLBtDShHdmcdZfXChPvy4_u-C-AGfBXwU</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Parreira, José Gustavo</creator><creator>Matar, Marina Raphe</creator><creator>Tôrres, André Luis Barreto</creator><creator>Perlingeiro, Jacqueline A. G.</creator><creator>Solda, Silvia C.</creator><creator>Assef, José Cesar</creator><general>Colégio Brasileiro de Cirurgiões</general><scope>AAYXX</scope><scope>CITATION</scope><scope>DOA</scope></search><sort><creationdate>20140801</creationdate><title>Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma</title><author>Parreira, José Gustavo ; Matar, Marina Raphe ; Tôrres, André Luis Barreto ; Perlingeiro, Jacqueline A. G. ; Solda, Silvia C. ; Assef, José Cesar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3149-73e9cb2a3df8f3f724b9995deb9e528353095a75dab49c1841b99f9e1bc72bcd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Accidents</topic><topic>Bone Fractures</topic><topic>External Causes</topic><topic>Multiple Trauma</topic><topic>Wounds and Injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parreira, José Gustavo</creatorcontrib><creatorcontrib>Matar, Marina Raphe</creatorcontrib><creatorcontrib>Tôrres, André Luis Barreto</creatorcontrib><creatorcontrib>Perlingeiro, Jacqueline A. G.</creatorcontrib><creatorcontrib>Solda, Silvia C.</creatorcontrib><creatorcontrib>Assef, José Cesar</creatorcontrib><collection>CrossRef</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista do Colégio Brasileiro de Cirurgiões</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parreira, José Gustavo</au><au>Matar, Marina Raphe</au><au>Tôrres, André Luis Barreto</au><au>Perlingeiro, Jacqueline A. G.</au><au>Solda, Silvia C.</au><au>Assef, José Cesar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma</atitle><jtitle>Revista do Colégio Brasileiro de Cirurgiões</jtitle><date>2014-08-01</date><risdate>2014</risdate><volume>41</volume><issue>4</issue><spage>272</spage><epage>277</epage><pages>272-277</pages><issn>0100-6991</issn><issn>1809-4546</issn><eissn>0100-6991</eissn><abstract><![CDATA[OBJECTIVE: To analyze the lesions diagnosed in victims of falls, comparing them with those diagnosed in other mechanisms of blunt trauma.METHODS: We conducted a retrospective study of trauma protocol charts (prospectively collected) from 2008 to 2010, including victims of trauma over 13 years of age admitted to the emergency room. The severity of injuries was stratified by the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS). Variables were compared between the group of victims of falls from height (Group 1) and the other victims of blunt trauma (Group 2). We used the Student t, chi-square and Fisher tests for comparison between groups, considering the value of p <0.05 as significant.RESULTS: The series comprised 4,532 cases of blunt trauma, of which 555 (12.2%) were victims of falls from height. Severe lesions (AISe"3) were observed in the extremities (17.5%), in the cephalic segment (8.4%), chest (5.5%) and the abdomen (2.9%). Victims of Group 1 had significantly higher mean age, AIS in extremities / pelvis, AIS in the thoracic segment and ISS (p <0.05). The group 1 had significantly (p <0.05) higher incidence of tracheal intubation on admission, pneumothorax, hemothorax, rib fractures, chest drainage, spinal trauma, pelvic fractures, complex pelvic fractures and fractures to the upper limbs.CONCLUSION: Victims of fall from height had greater anatomic injury severity, greater frequency and severity of lesions in the thoracic segment and extremities.
OBJETIVO:analisar as lesões diagnosticadas nas vítimas de queda de altura, comparando-as com as diagnosticadas em outros mecanismos de trauma fechado.MÉTODOS:estudo retrospectivo dos protocolos de trauma (coletados prospectivamente) de 2008 a 2010, incluindo as vítimas de trauma fechado com idade superior a 13 anos, admitidas na sala de emergência. A gravidade das lesões foi estratificada pelo Abbreviated Injury Scale (AIS) e Injury Severity Score (ISS). As variáveis foram comparadas entre o grupo de vítimas de quedas de altura (Grupo 1) e as demais vítimas de trauma fechado (Grupo 2). Empregamos os testes t de Student, qui-quadrado e Fisher para a comparação entre os grupos, considerando o valor de p<0,05 como significativo.RESULTADOS:foram analisados 4532 casos de trauma fechado, sendo que 555 (12,2%) foram vítimas de quedas de altura. As lesões graves (AISe"3) foram observadas em extremidades (17,5%), em segmento cefálico (8,4%), torácico (5,5%) e em abdome (2,9%). As vítimas do grupo 1 apresentaram, significativamente (p<0,05), maior média etária, de AIS em extremidades/pelve, de AIS em segmento torácico e de ISS. O grupo 1 também apresentou, significativamente (p<0,05), maior frequência de intubação orotraqueal na admissão, pneumotórax, hemotórax, fraturas de costelas, drenagem de tórax, trauma raquimedular, fraturas de pelve, fraturas complexas de pelve e de fraturas em membros superiores.CONCLUSÃO:As vítimas de queda de altura apresentaram maior gravidade anatômica do trauma, maior frequência e gravidade de lesões em segmento torácico e em extremidades.]]></abstract><pub>Colégio Brasileiro de Cirurgiões</pub><doi>10.1590/0100-69912014004009</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Accidents Bone Fractures External Causes Multiple Trauma Wounds and Injuries |
| title | Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma |
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