
@article{ref1,
title="Trauma registry: trauma quality indicators analysis in hospitalized patients",
journal="Revista do Colégio Brasileiro de Cirurgiões",
year="2024",
author="Pivetta, Luca Giovanni Antonio and Antunes, Pedro DE Souza Lucarelli and Shimoda, Giovanna Mennitti and Parreira, Jose Gustavo and Perlingeiro, Jacqueline Arantes Gianninni and Assef, José Cesar",
volume="51",
number="",
pages="e20243604-e20243604",
abstract="PURPOSE: to consolidate a Trauma Register (TR) trough REDCap data acquisition platform and to validate, in this context, local Quality Indicators (QI) as improvement opportunities in trauma management. <br><br>METHODS: continuous data acquisition of all patients admitted in Irmandade da Santa Casa de Misericórdia de São Paulo adult Trauma bay and it's validation in REDCap platform; 6 months retrospective cohort of QI impact in length of hospitalar stay, complications and mortality. Fisher, Chi-squared, Wilcoxon and Kruskal-Wallis tests were used to correlate QIs fails with the endpoints, considering p<0.05 and CI <95% as statically significant. <br><br>RESULTS: 465 were admitted in Trauma bay, with 137 patients hospitalized (29.5%); the number of QIs compromised were related with more complications (p=0.075) and increased length of stay (p=0.028), especially the delay in open fracture's surgical management, which increased the severe complications' incidence (p=0.005). <br><br>CONCLUSION: the REDCap data acquisition platform is useful as a tool for multi center TR implementation, from ethical and logistical point of view; nevertheless, the proposed QIs are validated as attention points in trauma management, allowing improvements in traumatized patients treatment.<p /> <p>Language: pt</p>",
language="pt",
issn="0100-6991",
doi="10.1590/0100-6991e-20243604-en",
url="http://dx.doi.org/10.1590/0100-6991e-20243604-en"
}