PMID: 18709241Aug 19, 2008Paper

Survival after motor vehicle crash: impact of clinical and prehospital variables

Revista de saúde pública
Marisa Aparecida Amaro Malvestio, Regina Marcia Cardoso de Sousa

Abstract

To assess clinical and prehospital variables associated with survival of motor vehicle crash victims. Study carried out in the city of São Paulo (Southeastern Brazil), from 1999 to 2003. Data from 175 patients, who were aged between 12 and 65 years and had been motor vehicle crash victims, were analyzed. Kaplan-Meier Survival Analysis was used to approach the results at the accident scene with victims scoring <11, according to the Revised Trauma Score. Variables analyzed were: sex, age, injury mechanisms, basic and advanced support procedures, Revised Trauma Score parameters and fluctuations, time elapsed in the prehospital phase and trauma severity according to the Injury Severity Score and Maximum Abbreviated Injury Scale. Analysis revealed that victims who were less likely to survive during the hospitalization period showed serious lesions in the abdomen, thorax, or lower limbs, with negative fluctuation of respiratory frequency and Revised Trauma Score in the prehospital phase. In addition, they needed specialized interventions or thoracic compressions. Brain lesions were associated with late death. Recognition of variables involved in the survival of motor vehicle crash victims may help to determine protocols and to make d...Continue Reading

References

May 1, 1989·The Journal of Trauma·H R ChampionM E Flanagan
Sep 1, 1993·The Journal of Trauma·J G MurphyM Glasser
Dec 1, 1996·Intensive Care Medicine·P CombesC Jacquot
Jun 1, 1997·The Journal of Trauma·D E Clark, L M Ryan
Dec 10, 2002·Revista de saúde pública·Marisa Aparecida Amaro Malvestio, Regina Márcia Cardoso de Sousa
May 28, 2005·The Journal of Trauma·John J PickensEileen M Bulger

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Citations

Oct 11, 2012·Einstein·Israel Figueiredo JúniorGlaucia Macedo de Lima
Oct 4, 2018·Ciência & saúde coletiva·Marcelo Rasga MoreiraJosé Inácio Jardim Motta
Jan 24, 2014·Acta ortopedica brasileira·Renata Reis Matutino de CastroBruno Dórea Jaques
Jan 14, 2012·Revista da Escola de Enfermagem da U S P·Rita de Cássia Almeida VieiraAndréia Centenaro Vaez
Apr 7, 2012·Revista latino-americana de enfermagem·Ana Maria Calil SallumFernão Dias de Lima
Aug 31, 2016·Traffic Injury Prevention·Greiciane da Silva RochaOffer Grembek

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