Factores de riesgo de deterioro de calidad de vida en pacientes traumáticos críticos. Valoración a los 6 y 12 meses del alta de la unidad de cuidados intensivos

Goixart, L. Serviá; Castelló, M. Badia; Ortiz, Neus Montserrat; Rodriguez, Garcia; Izquierdo, Escobar; Corselles, J. Vilanova; Trujillano, Javier

doi:10.1016/j.medin.2012.10.008

Cited by 12 publications

(4 citation statements)

References 34 publications

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“…The projects of Bacteremia Zero (in Spain, it achieved in 1 year a reduction of some 3800 cases of bacteremia associated with central venous catheter in the intensive care unit or ICU [27]) and Pneumonia Zero (a reduction of pneumonia associated with mechanical ventilation in ICUs to 6 per 1000 mechanical ventilation days in 1 year [28]) are just 2 examples. These actions cannot be an option; instead, the responsibility of managers is to do whatever possible to incorporate them in their centers.…”

Section: Discussionmentioning

confidence: 99%

Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers’ Patient Safety Responsibilities

Mira¹,

Carrillo²,

Fernández³

et al. 2016

JMIR Mhealth Uhealth

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BackgroundAdverse events are a reality in clinical practice. Reducing the prevalence of preventable adverse events by stemming their causes requires health managers’ engagement.ObjectiveThe objective of our study was to develop an app for mobile phones and tablets that would provide managers with an overview of their responsibilities in matters of patient safety and would help them manage interventions that are expected to be carried out throughout the year.MethodsThe Safety Agenda Mobile App (SAMA) was designed based on standardized regulations and reviews of studies about health managers’ roles in patient safety. A total of 7 managers used a beta version of SAMA for 2 months and then they assessed and proposed improvements in its design. Their experience permitted redesigning SAMA, improving functions and navigation. A total of 74 Spanish health managers tried out the revised version of SAMA. After 4 months, their assessment was requested in a voluntary and anonymous manner.ResultsSAMA is an iOS app that includes 37 predefined tasks that are the responsibility of health managers. Health managers can adapt these tasks to their schedule, add new ones, and share them with their team. SAMA menus are structured in 4 main areas: information, registry, task list, and settings. Of the 74 users who tested SAMA, 64 (86%) users provided a positive assessment of SAMA characteristics and utility. Over an 11-month period, 238 users downloaded SAMA. This mobile app has obtained the AppSaludable (HealthyApp) Quality Seal.ConclusionsSAMA includes a set of activities that are expected to be carried out by health managers in matters of patient safety and contributes toward improving the awareness of their responsibilities in matters of safety.

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Section: Discussionmentioning

confidence: 99%

Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers’ Patient Safety Responsibilities

Mira¹,

Carrillo²,

Fernández³

et al. 2016

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

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“…The assistance for trauma victims has improved, and the number of survivors from severe injuries has grown rapidly. In addition to the primary objective of preserving life, the treatment offered to polytrauma patients is currently also focusing on functional recovery and reintegration into society 2 , 14 , 15 , 16 , 17 ) .…”

Section: Introductionmentioning

confidence: 99%

“…Assessment of the functional status of polytrauma patients is particularly challenging due to the large range of types and severity of injuries. The functional status of trauma survivors has been inferred in health-related quality of life (HRQOL) studies in this population, as in studies conducted in Spain 17 ) and Greece 18 ) . At three months post injury, severe trauma victims show drastically reduced functionality and HRQOL 5 ) .…”

Section: Introductionmentioning

confidence: 99%

“…At three months post injury, severe trauma victims show drastically reduced functionality and HRQOL 5 ) . At six months, trauma victims still show a deteriorated HRQOL; although improvement may be observed at 12 months, complete recovery of previous condition is not obtained 17 ) . For injured victims of motor vehicle crashes, serious problems in terms of HRQOL gradually improve during the 2 years after hospital discharge 18 ) .…”

Section: Introductionmentioning

confidence: 99%

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Recovery of functional capacity in severe trauma victims at one year after injury: association with trauma-related and hospital stay aspects

et al. 2016

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[Purpose] The aim of this study was to investigate the functional capacity of trauma survivors one year after hospital discharge and to identify associations with trauma- and hospital stay-related aspects in a developing country. [Subjects and Methods] This study included severe trauma patients (Injury Severity Score ≥16; ≥18 years old) who were admitted to an intensive care unit in Sao Paulo, Brazil. Hospital stay data were collected from the patients’ records. Functional capacity was assessed using the Glasgow Outcome Scale and Lawton Instrumental Activities of Daily Living Scale one year after hospital discharge. Patients were asked if they had returned to work/school. [Results] Forty-nine patients completed follow-up. According to the Glasgow Outcome Scale data, most patients had moderate or mild/no dysfunction. The Lawton Instrumental Activities of Daily Living Scale showed that 60–70% of the subjects performed most activities independently. Multiple linear regression of the Glasgow score, Acute Physiology and Chronic Health Disease Classification System II score, length of mechanical ventilation, and hospital length of stay revealed an association between the Lawton Instrumental Activities of Daily Living Scale and hospital length of stay. Overall, 32.6% of the subjects had returned to work/school. [Conclusion] Most severe trauma patients experienced functional recovery, although only one-third had returned to work/school one year after hospital discharge. Hospital length of stay was identified as a significant predictor of functional recovery.

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Analysis of quality of life after major trauma: a spanish follow-up cohort study

Bayo

Montmany

Rebasa

et al. 2018

Eur J Trauma Emerg Surg

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Factores de riesgo de deterioro de calidad de vida en pacientes traumáticos críticos. Valoración a los 6 y 12 meses del alta de la unidad de cuidados intensivos

Cited by 12 publications

References 34 publications

Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers’ Patient Safety Responsibilities

Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers’ Patient Safety Responsibilities

Recovery of functional capacity in severe trauma victims at one year after injury: association with trauma-related and hospital stay aspects

Analysis of quality of life after major trauma: a spanish follow-up cohort study

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