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1. Andre Luciano Baitello. O impacto da implanta??o do SAMU na assist?ncia aos traumatizados atendidos em Hospital Terci?rio de S?o Jose do Rio Preto-SP.

Degree: 2008, Faculdade de Medicina de São José do Rio Preto

Trauma is one of the greatest problems of public health. Thus, a better qualified service is essential in the pre-hospital environment, in the hospital and during rehabilitation. Pre-hospital services and regulations for urgencies are being implanted without the necessary assessment of the benefits. Few published studies have evaluated the real benefits of pre-hospital management and or the organization of the flow of trauma patients in reference hospitals. Trauma cases demonstrate specific regional epidemiologic characteristics and analysis based on world-wide trauma indices allows a comparison with internationally published data. OBJECTIVES: The objective went to analise trauma victims attended in the Emergency and Trauma Service of FUNFARME during the period of July to December 2004 and January to June 2005, after the implantation of SAMU. METHODS: Epidemiologic characteristics, including severity of injury and mortality were evaluated before and after the implantation of a pre-hospital service and the Urgency Medical Guidelines Center of SAMU (Ambulance Service and regulations for urgencies). RESULTS: An overall reduction in the number of referrals was observed after the implantation of SAMU from 2900 before for 2421 patients after, that it corresponds to a 16,5% reduction. The epidemiologic characteristics of the studied population in relation of demographic variations and mechanism of trauma were similar in the two periods. There was a predominance of young men injured in road traffic accidents mainly involving motorcycles. Additionally, patients older then 60 years of age, there was a tendency of a larger number of cases related to falls and being run over by motor vehicles. An evaluation of the severity showed an proportional increase in the cases analyzed using anatomic (ISS) indice; referral to the reference hospital implies an increase in the period of hospitalization however there was a reduction in the mean ICU time after implantation of the Ambulance Service. An analysis of the severity utilizing TRISS and Z statistics showed that the quality of attendance is within the standards expected by Major Trauma Outcome Study (MTOS). Observed a reduction of risk of 22% of mortality for patients with severity trauma after the implantation of SAMU. A reduction in the numbers of deaths due to hemorrhagic shock was also observed as was reduction of deaths over the first few hours, indicating a possible improvement in treatment within the first hour. CONCLUSIONS: Thus, implantation of the Ambulance Service and regulations for urgencies (SAMU) enabled reorganization of trauma victim treatment giving an overall reduction in numbers of cases taken to hospital and a proportional increase in severe cases admitted to the reference hospital for treatment and consequently a reduction in the use of the ICU and risk of deaths in patients with severity trauma. Moreover, the etiologic profile changed and a reduction in the prevalence of hemorrhagic shock and deaths within the first hours of treatment was seen.

O trauma ? um…

Advisors/Committee Members: Dirce Maria Trevisan Zanetta, José Carlos Lopes, Jose Ivan de Andrade, Jorge Luis dos Santos Valiatti, Renato Sergio Poggetti.

Subjects/Keywords: CIRURGIA TRAUMATOLOGICA; Traumatismo multiplo; Servi?os M?dicos de Emerg?ncia; Regula??o M?dica; Indices de Gravidade do Trauma; Multiple Injuries; Emergency system; Regulation for Urgencies; Trauma Score.; Traumatismo Múltiple; Multiple Trauma; Servicio Médicos de Urgência; Emergency Medical Services

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Baitello, A. L. (2008). O impacto da implanta??o do SAMU na assist?ncia aos traumatizados atendidos em Hospital Terci?rio de S?o Jose do Rio Preto-SP. (Thesis). Faculdade de Medicina de São José do Rio Preto. Retrieved from http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=220

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Baitello, Andre Luciano. “O impacto da implanta??o do SAMU na assist?ncia aos traumatizados atendidos em Hospital Terci?rio de S?o Jose do Rio Preto-SP.” 2008. Thesis, Faculdade de Medicina de São José do Rio Preto. Accessed November 23, 2020. http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=220.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Baitello, Andre Luciano. “O impacto da implanta??o do SAMU na assist?ncia aos traumatizados atendidos em Hospital Terci?rio de S?o Jose do Rio Preto-SP.” 2008. Web. 23 Nov 2020.

Vancouver:

Baitello AL. O impacto da implanta??o do SAMU na assist?ncia aos traumatizados atendidos em Hospital Terci?rio de S?o Jose do Rio Preto-SP. [Internet] [Thesis]. Faculdade de Medicina de São José do Rio Preto; 2008. [cited 2020 Nov 23]. Available from: http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=220.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Baitello AL. O impacto da implanta??o do SAMU na assist?ncia aos traumatizados atendidos em Hospital Terci?rio de S?o Jose do Rio Preto-SP. [Thesis]. Faculdade de Medicina de São José do Rio Preto; 2008. Available from: http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=220

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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