{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T10:57:27Z","timestamp":1725620247098},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo:  avaliar dados epidemiol\u00f3gicos dos pacientes operados por trauma vascular em hospital de refer\u00eancia para traumatismos vasculares do Estado do Par\u00e1, determinar as vari\u00e1veis que aumentam o risco de \u00f3bito e fazer uma an\u00e1lise comparativa com os resultados previamente publicados pela mesma institui\u00e7\u00e3o.  M\u00e9todos:  estudo retrospectivo anal\u00edtico realizado atrav\u00e9s da coleta de dados de pacientes operados por les\u00f5es vasculares, entre mar\u00e7o de 2013 e mar\u00e7o de 2017. Foram analisados dados demogr\u00e1ficos e epidemiol\u00f3gicos, como o mecanismo e topografia da les\u00e3o, dist\u00e2ncia entre o local do trauma e o hospital, tipo de tratamento e complica\u00e7\u00f5es. Foi feito ainda o estudo de uma matriz de correla\u00e7\u00e3o com regress\u00e3o log\u00edstica entre as vari\u00e1veis e a ocorr\u00eancia de \u00f3bito.  Resultados:  foram estudados 288 pacientes, com 430 les\u00f5es; 92,7% era do sexo masculino, 49,7% entre 25 e 49 anos de idade; 47,2% das les\u00f5es foi ocasionada por proj\u00e9teis de arma de fogo; 47,2% das les\u00f5es situava-se nos membros superiores, 42,7% nos membros inferiores, 8% em regi\u00e3o cervical, 3,1% tor\u00e1cicas e 0,7% abdominais; 52,8% dos pacientes teve hospitaliza\u00e7\u00e3o por sete dias ou menos. Amputa\u00e7\u00e3o foi necess\u00e1ria em 6,9% e a mortalidade foi 7,93%.  Conclus\u00e3o:  dist\u00e2ncias superiores a 200km foram associadas \u00e0 interna\u00e7\u00e3o prolongada e maior probabilidade de amputa\u00e7\u00e3o de membros. Foi encontrada correla\u00e7\u00e3o significativa entre a ocorr\u00eancia de \u00f3bito e o fato de haver les\u00e3o arterial, les\u00e3o vascular na topografia cervical e les\u00e3o vascular na topografia tor\u00e1cica.<\/jats:p>","DOI":"10.1590\/0100-6991e-20181844","type":"journal-article","created":{"date-parts":[[2018,10,3]],"date-time":"2018-10-03T19:32:36Z","timestamp":1538595156000},"source":"Crossref","is-referenced-by-count":1,"title":["Trauma vascular na Amaz\u00f4nia: atualizando o desafio."],"prefix":"10.1590","volume":"45","author":[{"given":"Adenauer Marinho de Oliveira","family":"G\u00f3es Junior","sequence":"first","affiliation":[{"name":"Hospital Metropolitano de Urg\u00eancia e Emerg\u00eancia,  Brasil; Centro Universit\u00e1rio do Estado do Par\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joaquim Fernando Albuquerque","family":"Sim\u00f5es Neto","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio do Estado do Par\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone de Campos Vieira","family":"Abib","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariseth Carvalho","family":"de-Andrade","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Par\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thaiana Cerqueira","family":"Ferraz","sequence":"additional","affiliation":[{"name":"Hospital Metropolitano de Urg\u00eancia e Emerg\u00eancia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,10,4]]},"reference":[{"issue":"2","key":"ref1","first-page":"123","article-title":"Traumatismos vasculares no Estado do Par\u00e1, Brasil, per\u00edodo de 2011 a 2013, e sua rela\u00e7\u00e3o com vari\u00e1veis cl\u00ednicas e demogr\u00e1ficas","volume":"14","author":"Soares LT","year":"2015","journal-title":"J Vasc Bras"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1590\/0100-69912017006006","article-title":"Deaths from abdominal trauma: analysis of 1888 forensic autopsies","volume":"44","author":"Bordoni PHC","year":"2017","journal-title":"Rev Col Bras Cir"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"517","DOI":"10.4236\/health.2014.66071","article-title":"Vascular trauma in the Amazon region: a two years cases review from a single institution","volume":"6","author":"G\u00f3es Jr AMO","year":"2014","journal-title":"Health"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1590\/0100-69912017004007","article-title":"Rela\u00e7\u00e3o entre o mecanismo de trauma e les\u00f5es diagnosticadas em v\u00edtimas de trauma fechado","volume":"44","author":"Parreira JG","year":"2017","journal-title":"Rev Col Bras Cir"},{"issue":"4","key":"ref5","first-page":"244","article-title":"Trauma vascular na Amaz\u00f4nia - 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