Costa Carlos Dario da Silva, Scarpelini Sandro
Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
Rev Col Bras Cir. 2012 Jul-Aug;39(4):249-54. doi: 10.1590/s0100-69912012000400002.
To characterize deaths from trauma in a tertiary hospital and evaluate the quality of care provided to these victims.
This was a retrospective study in a referral center for trauma in the period of one year. Through the methodology Trauma Score - Injury Severity Score and the review of medical records, preventable, potentially avoidable and non-preventable deaths were identified and studied.
Seventy-five patients were included in the study. There was a predominance of deaths in young, male victims of traffic accidents. The mean Revised Trauma Score, Injury Severity Score and Trauma Score - Injury Severity Score were 5.60, 30.7 and 62.2%, respectively. The rate of deaths considered avoidable was 61.3%, potentially avoidable, 24%, and unavoidable, 14.7%.
The study sample had epidemiological features similar to other studies, except for the high rate of avoidable deaths and the high values of the Revised Trauma Score. There were difficulties in obtaining data from medical records, medical imaging and autopsy findings. The quality of care provided to trauma victims in the institution proved unsatisfactory because of problems in collecting and storing data.
描述一家三级医院创伤死亡情况，并评估为这些受害者提供的护理质量。
这是一项在创伤转诊中心进行的为期一年的回顾性研究。通过创伤评分-损伤严重度评分方法及病历审查，确定并研究了可预防、潜在可避免和不可预防的死亡情况。
75例患者纳入研究。交通事故年轻男性受害者死亡占主导。修订创伤评分、损伤严重度评分及创伤评分-损伤严重度评分的平均值分别为5.60、30.7和62.2%。可避免死亡发生率为61.3%，潜在可避免为24%，不可避免为14.7%。
该研究样本具有与其他研究相似的流行病学特征，但可避免死亡发生率高且修订创伤评分值高。从病历、医学影像和尸检结果获取数据存在困难。由于数据收集和存储问题，该机构为创伤受害者提供的护理质量证明不尽人意。
