Your browser doesn't support javascript.
loading
Comparison of Epidemiology of the Injuries and Outcomes in Two First-Level Trauma Centers in Colombia Using the Pan-American Trauma Registry System.
Ramachandran, Anu; Ranjit, Anju; Zogg, Cheryl K; Herrera-Escobar, Juan P; Appelson, Jessica R; Pino, Luis F; Aboutanous, Michel B; Haider, Adil H; Ordonez, Carlos A.
Afiliação
  • Ramachandran A; Johns Hopkins School of Medicine, Baltimore, MD, USA.
  • Ranjit A; Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School and Harvard School of Public Health, Boston, MA, USA.
  • Zogg CK; Yale School of Medicine, New Haven, CT, USA.
  • Herrera-Escobar JP; Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School and Harvard School of Public Health, Boston, MA, USA.
  • Appelson JR; Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School and Harvard School of Public Health, Boston, MA, USA.
  • Pino LF; Department of Surgery from Division of Trauma and Acute Care Surgery, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia.
  • Aboutanous MB; Division of Acute Care Surgery, Virginia Commonwealth University Trauma Center, Virginia Commonwealth University Medical Center, Richmond, VA, USA.
  • Haider AH; Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School and Harvard School of Public Health, Boston, MA, USA. ahhaider@partners.org.
  • Ordonez CA; Department of Surgery from Division of Trauma and Acute Care Surgery, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia.
World J Surg ; 41(9): 2224-2230, 2017 09.
Article em En | MEDLINE | ID: mdl-28417184
INTRODUCTION: The aim of this study was to compare the epidemiology of traumatic injuries and mortality outcomes between two tertiary-care trauma centers in Colombia using data from Pan-American Trauma Registry (PATR). METHODS: January 1-December 31, 2012, data from the Hospital Universitario del Valle (HUV, public) and Fundacion Valle del Lili (FVL, private) in Cali, Colombia, were considered. Differences in demographic and clinical information were compared using descriptive statistics. Propensity score matching was used to match patients on age, gender, and ISS. Within matched cohorts, multivariable logistic regression models were used to assess for differences in in-hospital mortality, further adjusting for insurance type, employment, heart rate, presence of hypotension (SBP < 90), and GCS score. RESULTS: HUV (8539; 78% male) and FVL (10,456; 60% male) had a combined total of 18,995 trauma cases in 2012 with comparable mean ages of 29.7 years. There were significant differences in insurance status, injury severity, and mechanism of injury between patients at HUV and FLV. On risk-adjusted logistic regression analyses with propensity score matched cohorts, the odds of death in HUV was higher compared to patients presenting at FVL hospital (OR [95% CI]:4.93 [3.37-7.21], p < 0.001). CONCLUSION: The study established the utility of the PATR and revealed important trends in patient demographics, injury epidemiology, and mortality outcomes, which can be used to target trauma initiatives throughout the region. It underscores the profound importance that differences in case mix play in the risk of trauma-related mortality, further emphasizing the need to monitor and evaluate unique aspects of trauma in LMIC. LEVEL OF EVIDENCE: III.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Centros de Traumatologia / Ferimentos e Lesões / Sistema de Registros / Mortalidade Hospitalar Tipo de estudo: Etiology_studies / Prognostic_studies / Screening_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte / America do sul / Colombia Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Centros de Traumatologia / Ferimentos e Lesões / Sistema de Registros / Mortalidade Hospitalar Tipo de estudo: Etiology_studies / Prognostic_studies / Screening_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte / America do sul / Colombia Idioma: En Ano de publicação: 2017 Tipo de documento: Article