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Trauma admissions to the Intensive Care Unit of the University Hospital of the West Indies, Kingston 7, Jamaica [abstract]
Mitchell, Vivienne; Scarlett, Marianna D; Amata, A. O.
Afiliação
  • Mitchell, Vivienne; University of the West Indies, Mona, Jamaica. Department of Surgery, Radiology, Anaesthesia and Intensive Care
  • Scarlett, Marianna D; University of the West Indies, Mona, Jamaica. Department of Surgery, Radiology, Anaesthesia and Intensive Care
  • Amata, A. O; University of the West Indies, St.Augustine, Trinidad and Tobago. Department of Anaesthesia and Intensive Care
West Indian med. j ; 50(Suppl 5): 33-4, Nov. 2001.
Artigo em Inglês | MedCarib | ID: med-135
Biblioteca responsável: JM3.1
Localização: JM3.1; R18.W4
ABSTRACT

OBJECTIVE:

Trauma is the single most common reason for admission to the surgical wards at the 500-bed University Hospital of the West Indies in Kingston, Jamaica. This study was undertaken to assess the impact of trauma on the Intensive Care Unit (ICU) in terms of time, resources, staffing and cost. It also assesses the pattern profile, frequency and outcome of trauma cases admitted to the multidisciplinary 8-bed ICU.

METHODS:

Records of all trauma patients admitted to the ICU over a period of a 5-year period between October 1995 and September 2000 were reviewed. Approval for this study was obtained from the institutional ethics committee. Data collected included age, gender, diagnosis, cause of trauma, referring specialities, duration of admission and outcome.

RESULTS:

During the study period 161 patients with severe trauma were admitted to the ICU, representing 12 percent and 16 percent of total and emergency ICU admission, respectively. There was a preponderance of men (MF = 41), and they were generally younger than the average ICU patient (mean age 35 vs. 42 years). Trauma admission were almost exclusively emergencies (98 percent) and came mainly from the operating theatre/recovery room (67.3 percent) and Accident and Emergency (16.4 percent). The length of ICU stay of all trauma patients was a mean (SD) of 6.3 (8.4) days. More than one-half of the non-survivors (55 percent) died within 24 hours of ICU admission and 84 percent died by 7th ICU day. Road traffic accidents remain the leading cause of severe trauma (45 percent), but there was also a high prevalence of intentional and interpersonal violence (42 percent).

CONCLUSION:

Severe trauma in Jamaica is a major cause of hospitalization and intensive care utilization, and hence consumes a significant amount of already under-funded healthcare budget. In most instances it is preventable. Trauma prevention is therefore the most effective management. The need for a high dependency unit and expansion of the existing ICU is also underscored. (AU)
Assuntos
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Saúde e Bem-Estar / ODS3 - Meta 3.6 Reduzir as mortes e traumatismos por acidentes de transito Problema de saúde: Meta 3.6: Reduzir as mortes e traumatismos por acidentes de transito / Resposta Pós-Acidente Base de dados: MedCarib Assunto principal: Ferimentos e Lesões / Unidades de Terapia Intensiva Tipo de estudo: Estudo observacional / Fatores de risco Aspecto: Aspectos éticos Limite: Adulto / Feminino / Humanos / Masculino País/Região como assunto: Caribe / Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Ano de publicação: 2001 Tipo de documento: Artigo
Buscar no Google
Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Saúde e Bem-Estar / ODS3 - Meta 3.6 Reduzir as mortes e traumatismos por acidentes de transito Problema de saúde: Meta 3.6: Reduzir as mortes e traumatismos por acidentes de transito / Resposta Pós-Acidente Base de dados: MedCarib Assunto principal: Ferimentos e Lesões / Unidades de Terapia Intensiva Tipo de estudo: Estudo observacional / Fatores de risco Aspecto: Aspectos éticos Limite: Adulto / Feminino / Humanos / Masculino País/Região como assunto: Caribe / Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Ano de publicação: 2001 Tipo de documento: Artigo
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