
@article{ref1,
title="Risk factors for the mortality of trauma victims in the intensive care unit",
journal="Intensive and critical care nursing",
year="2015",
author="Sardinha, Debora Souza and de Sousa, Regina Marcia Cardoso and Nogueira, Lilia de Souza and Damiani, Lucas Petri",
volume="31",
number="2",
pages="76-82",
abstract="OBJECTIVE: To identify the risk factors associated with mortality of trauma victims during hospitalisation in the intensive care unit (ICU). <br><br>DESIGN: Prospective cohort. SETTING: Brazilian ICU specialising in the care of trauma victims. <br><br>METHODS: The subjects were divided into two groups: survivors and non-survivors. The variables used to compare the groups included demographic and clinical characteristics and illness/injury severity (Acute Physiology and Chronic Health Evaluation [APACHE II], Simplified Acute Physiology Score [SAPS II], Logistic Organ Dysfunction System [LODS], Injury Severity Score [ISS] and New Injury Severity Score [NISS]). The data were analysed using descriptive and inferential statistics and multiple logistic regression analysis. <br><br>RESULTS: The sample consisted of 200 patients (164 males) with a mean age of 40.7 years. The predominant causes of injury were traffic accidents (57.5%) followed by falls (31.0%). The ICU mortality was 19.0%. Logistic regression analysis revealed that one point on the NISS and SAPS II scores increased the risk of death by 6% and 7%, respectively. In contrast, the risk of dying decreased 4% for each day of ICU hospitalisation. <br><br>CONCLUSION: Professionals must use the SAPS II and NISS for the early identification of trauma victims at high risk for death especially during the first days of ICU hospitalisation.<p /> <p>Language: en</p>",
language="en",
issn="0964-3397",
doi="10.1016/j.iccn.2014.10.008",
url="http://dx.doi.org/10.1016/j.iccn.2014.10.008"
}