Bibliographic citations
Carreras, X., Salcedo, A. (2019). Asociación entre tiempo de injuria y estatus funcional en sobrevivientes de trauma: analisis exploratorio de crash-2 [Tesis, Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/659430
Carreras, X., Salcedo, A. Asociación entre tiempo de injuria y estatus funcional en sobrevivientes de trauma: analisis exploratorio de crash-2 [Tesis]. PE: Universidad Peruana de Ciencias Aplicadas (UPC); 2019. http://hdl.handle.net/10757/659430
@misc{renati/398920,
title = "Asociación entre tiempo de injuria y estatus funcional en sobrevivientes de trauma: analisis exploratorio de crash-2",
author = "Salcedo Torres, Andrea Sofia",
publisher = "Universidad Peruana de Ciencias Aplicadas (UPC)",
year = "2019"
}
Introduction: Currently, trauma is considered the sixth global cause of mortality and fifth cause of disability in all age groups. . One of the most important factors in the survival of an injured patient is the injury time. Objective: To estimate the association between injury time and functional status at discharge in adult trauma patients enrolled in the CRASH-2 trial during the years 2005-2010. Methods: Retrospective cohort study corresponding to a secondary analysis of the CRASH-2 experimental trial database. The relative risk (RR) of time of injury (defined as the time interval from the time of the injury to hospital arrival) and functional status was calculated using a generalized linear model of the Poisson family, link log with robust variance with a 95% confidence interval adjusted for age, sex, type of injury, stroke, traumatic brain injury (TBI) and vaso-oclusive events. Results: Data from 16,950 patients were analyzed for this study. The 66.97% of the patients had a non-prolonged injury time (≤ 3 hours) and 76.77% presented an independent functional status at discharge. We found that patients who had a prolonged injury time had a 11.00% higher risk of presenting a dependent functional status compared to patients with a non-prolonged injury time. Other factors associated with dependent functional status are age, type of injury, stroke, TBI, among others. Conclusions: Our study concludes that a prolonged injury time increases the risk of developing a dependent functional status and due to this result, we encourage the rapid transportation of trauma patients to reduce the risk of dependent functional status.
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