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Revista Latino-Americana de Enfermagem

On-line version ISSN 1518-8345

Abstract

SALLUM, Ana Maria Calil; SANTOS, Jair Lício Ferreira dos  and  LIMA, Fernão Dias de. Nursing diagnoses in trauma victims with fatal outcomes in the emergency scenario. Rev. Latino-Am. Enfermagem [online]. 2012, vol.20, n.1, pp.3-10. ISSN 1518-8345.  http://dx.doi.org/10.1590/S0104-11692012000100002.

The objective of this study was to identify and analyze the nursing diagnoses that constitute risk factors for death in trauma victims in the first 6 hours post-event. This is a cross-sectional, descriptive and exploratory study using quantitative analysis. A total of 406 patients were evaluated over six months of data collection in a tertiary hospital in the municipality of São Paulo, according to an instrument created for this purpose. Of the total, 44 (10.7%) suffered death. Multivariate analysis indicated the nursing diagnoses ineffective respiratory pattern, impaired spontaneous ventilation, risk of bleeding and risk of ineffective gastrointestinal tissue perfusion as risk factors for death and ineffective airway clearance, impaired comfort, and acute pain as protective factors, data that can direct health teams for different interventionist actions faced with the complexity of the trauma.

Keywords : Nursing Diagnosis; Emergency Medical Services; Nursing Records; Wounds and Injuries; Death.

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