Dados do Trabalho

Título

Epidemiological profiling of polytrauma patients admitted to the ICU: an yearly cohort.

Objetivo

To describe the clinical-epidemiological profile of trauma patients, admitted to an Intensive Care Unit (ICU) in northeast Brazil.

Métodos

Cross-sectional study conducted in a Trauma Center that included adult patients admitted to the ICU. Variables age, sex, type of admission (clinical or surgical), ICU and hospital length-of-stay and SAPS 3 score were collected. All patients were followed until hospital discharge or death. We also collected variables regarding ICU readmission, palliative care indication and patient origin (capital or interior). Statistical analysis of the collected data was carried out using descriptive statistics with categorical variables being reported as counts and percentages, and continuous variables as means with standard deviations.

Resultados

We included 210 patients. Mean age was 45.6 (SD ±3.33) years, with a predominance of males (n=172; 82%). Clinical patients accounted for 84% of admissions, 55% came from outside the capital and the mean SAPS 3 score was 62 (SD ±2.43). The mean length of stay in the ICU and hospital was 18.2 (SD ±6.59) days and 36.6 (SD ±2.74) days, respectively. During hospital stay 3% of patients were readmitted to the ICU and 8% had exclusive palliative care indication. Hospital mortality was 35%.

Conclusão

Trauma remains a serious condition and an adequate profiling of ICU-admitted patients may aid Intensivists in optimizing better resource allocation and improving outcomes.