Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients
Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients
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DOI：
10.1590/0100-69912014004005
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发表时间：
2014-08-01
期刊：
影响因子：
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通讯作者：
Ladeira, Roberto Marini
中科院分区：
文献类型：
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作者：
Carreiro, Paulo Roberto Lima;Drumond, Domingos André Fernandes;Ladeira, Roberto Marini
目的：展示巴西公立医院创伤登记处（TR）实施的步骤，并评估数据库中的初始数据。方法：若昂二十三世医院TR实施的描述性研究（米纳斯吉拉斯州的医院基金会）和对前1,000名患者的初步结果的分析。该项目于2011年启动，从2013年1月起，我们开始为TR收集数据。2014年1月，完成了首批1000名患者的登记。实施TR的最大困难是获得资助项目的资金以及医疗记录中缺乏信息。生理状态完成率最低的变量是：脉搏、血压、呼吸频率和格拉斯哥昏迷量表。因此，只有31%的病例可以计算修订的创伤评分（RTS），30.3%的患者采用TRISS方法。主要的流行病学特征表明，年轻男性受害者占主导地位（84.7%），侵略作为我们环境中受伤的原因（47.5%），超过了交通事故。平均住院时间为6天，死亡率为13.7%。结论：创伤登记是改善创伤患者护理的宝贵工具。提高病案记录数据的质量是必要的。公共当局的参与对于在巴西医院成功实施和维持创伤登记至关重要。
OBJECTIVE: Show the steps of a Trauma Registry (TR) implementation in a Brazilian public hospital and evaluate the initial data from the database.METHODS: Descriptive study of the a TR implementation in Joao XXIII Hospital (Hospital Foundation of the state of Minas Gerais) and analysis of the initial results of the first 1,000 patients.RESULTS: The project was initiated in 2011 and from January 2013 we began collecting data for the TR. In January 2014 the registration of the first 1000 patients was completed. The greatest difficulties in the TR implementation were obtaining funds to finance the project and the lack of information within the medical records. The variables with the lowest completion percentage on the physiological conditions were: pulse, blood pressure, respiratory rate and Glasgow coma scale. Consequently, the Revised Trauma Score (RTS) could be calculated in only 31% of cases and the TRISS methodology applied to 30.3% of patients. The main epidemiological characteristics showed a predominance of young male victims (84.7%) and the importance of aggression as a cause of injuries in our environment (47.5%), surpassing traffic accidents. The average length of stay was 6 days, and mortality 13.7%.CONCLUSION: Trauma registries are invaluable tools in improving the care of trauma victims. It is necessary to improve the quality of data recorded in medical records. The involvement of public authorities is critical for the successful implementation and maintenance of trauma registries in Brazilian hospitals.