Preditores de gravidade no trauma
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2023.203111Palavras-chave:
Índices de gravidade do trauma, Trauma, Lesões acidentais, Biomarcadores, Gravidade do paciente, Revisão de escopoResumo
O objetivo desta revisão é determinar os índices para detecção precoce e avaliação clínica e fisiológica para deterioração de pacientes do trauma. Conduziu-se uma revisão de escopo de acordo com os métodos propostos pelo Joanna Briggs Institute (JBI) entre fevereiro de 2018 a dezembro de 2018 nas bases de dados LILACS (Literatura Latina-Americana e do Caribe em Ciências da Saúde), National Library of Medicine (PubMed) e SCOPUS. Foram incluídos 62 estudos, dos quais 43 sobre trauma geral. Encontrou-se grande diversidade de variáveis fisiológicas, como Escala de Coma de Glasgow, Glicose, dias em Unidade de Terapia Intensiva, lactato e índices preditores—Injury Severity Score (ISS), Trauma Injury Severity Score (TRISS), Reviseted Trauma Score (RTS) e APACHE II. Os valores observados nos pacientes dos estudos encontrados foram comparados com os da literatura básica, sendo denominados Valores Críticos (CV). O grupo de índices de gravidade encontrados neste estudo, além de protocolos reguladores e clínicos, são a solidificação do processo de cuidado envolvendo a resposta das ações da equipe em saúde ao paciente de trauma. A análise desses índices deve ser enfatizada para determinar com maior confiabilidade o prognóstico do paciente. Com esses dados, pode ser possível predizer a taxa de mortalidade com maior acurácia.
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Copyright (c) 2023 André Luís Antoneli Senju, Giovanna Cristina Conti Machado-Kayzuka, Luís Expedito Sabage, Carlos Antonio Negrato, Aguinaldo César Nardi, Cezar Kayzuka Cotta Filho, Alessandra Mazzo
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
