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In-hospital care for the victims of external causes and their outcomes in a hospital of medium complexity

Author: 
Maria Gorete Nicolette Pereira and Eleine Aparecida Penha Martins
Subject Area: 
Health Sciences
Abstract: 

Objective: To evaluate the intra-hospital care to the victims of external causes and their outcomes in service of Medium Complexity. Method: Longitudinal, prospective study of quantitative approach. Data were collected by instrument, manual search in the medical record and direct interview with the victims. Results: Of these victims, 72.5% were young men, mean age 40.6 years, 67.0% of occurrences occurred during the day. The Charlson Comorbidity Index scored zero at 66.7%. The Trauma and Injury Severity Score (TRISS) demonstrated that 43.7% presented no risk of death, Injury Severity Scores (ISS) and Revised Trauma Score (RTS) evidenced mild trauma. The severity scales TRISS, ISS, RTS, Glasgow Coma Scale were not associated with the high discharge or transfer. The time of hospitalization and surgery was equal to or less than seven days for 60.6% and 55.1%, respectively. The surgery was statistically significant for the outcome of the patient. Conclusion: The victims of this study had characteristics of low health complexity, confirmed by the scales of lesions applied and low prediction of death. It is considered highly relevant and essential the service of care in the medium complexity, and the correct referral to an institution that behaves and resolves cases.

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