{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:00:26Z","timestamp":1753887626768,"version":"3.41.2"},"reference-count":19,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>ABSTRACT  Purpose:  to trauma quality indicators as a tool to identify opportunities of improvement in elderly trauma patient\u2019s\u2019 treatment.  Methods:  prospective analysis of data collected between 2014-2015, and stored in the iTreg software (by Ecossistemas). Trauma victims, aged older than 60 years and trauma quality indicators were assessed, based on those supported by SBAIT in 2013: (F1) Acute subdural hematoma drainage after 4 hours from admission, in patients with GCS&lt;9; (F2) emergency room transference without definitive airway and GCS &lt;9; (F3) Re-intubation within 48 hours from extubation; (F4) Admission-laparotomy time greater than 60 min. in hemodynamically uinstable patients with abdominal bleeding; (F5) Unprogrammed reoperation; (F6) Laparotomy after 4 hours from admission; (F7) Unfixed femur diaphyseal fracture; (F8) Non-operative treatment for abdominal gunshot; (F9) Admission-tibial exposure fracture treatment time greater than 6 hours; (F10) Surgery after 24 from admission. The indicators, treatments, adverse effects and deaths were analyzed, using the SPSS software, and the chi-squared and Fisher tests were used to calculate the statistical relevance.  Results: from the 92 cases, 36 (39,1%) had complications and 15 (16,3%) died. The adequate use of quality indicator\u2019s were substantially different among those who survived (was of 12%) compared to those who died (55,6%). The incidence of complications was of 77,8% (7\/9) in patients with compromised indicators and 34,9% (28\/83) in those without (p=0.017).  Conclusions:  trauma quality indicators are directly related with the occurrence of complications and deaths, in elderly trauma patients.<\/jats:p>","DOI":"10.1590\/0100-6991e-20202533","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T21:21:57Z","timestamp":1597267317000},"source":"Crossref","is-referenced-by-count":3,"title":["Trauma quality indicators: a way to identify attention points in the treatment of elderly trauma patients"],"prefix":"10.1590","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5224-9893","authenticated-orcid":false,"given":"PEDRO DE SOUZA","family":"LUCARELLI-ANTUNES","sequence":"first","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LUCA GIOVANNI ANTONIO","family":"PIVETTA","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JOS\u00c9 GUSTAVO","family":"PARREIRA","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil; Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JOS\u00c9 C\u00c9SAR","family":"ASSEF","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"4","key":"ref1","first-page":"272","article-title":"An\u00e1lise comparativa entre as les\u00f5es identificadas em v\u00edtimas de queda de altura e de outros mecanismos de trauma fechado","volume":"41","author":"Parreira JG","year":"2014","journal-title":"Rev Col Bras Cir"},{"issue":"1","key":"ref2","first-page":"79","article-title":"Trauma in the very elderly a 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