Relationship of age, injury severity, injury type, comorbid conditions, level of care, and survival among older motor vehicle trauma patients

Scheetz, Linda Jean

doi:10.1002/nur.20075

Cited by 30 publications

(21 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Situational variables consist of patient variables (eg, primary and secondary diagnosis, age, sex, mechanism of injury) that influence mortality and hospitalization rates in TBI patients 12,[26][27][28][29] and contextual variables (eg, nursing shift, type/time of assessment), which can influence ICU nurses' judgments. [30][31][32][33][34][35][36][37][38][39][40] The types of judgments typically made by nurses can vary, depending on the shift worked and whether or not a nurse is performing an initial assessment on a patient or has provided care for that patient before.…”

Section: Situational Variables and Nurses' Judgmentsmentioning

confidence: 99%

See 1 more Smart Citation

Judgments of Critical Care Nurses About Risk for Secondary Brain Injury

McNett

Doheny

Sedlak

et al. 2010

American Journal of Critical Care

View full text Add to dashboard Cite

Background Interdisciplinary care for patients with traumatic brain injury focuses on treating the primary brain injury and limiting further brain damage from secondary injury. Intensive care unit nurses have an integral role in preventing secondary brain injury; however, little is known about factors that influence nurses’ judgments about risk for secondary brain injury. Objective To investigate which physiological and situational variables influence judgments of intensive care unit nurses about patients’ risk for secondary brain injury, management solely with nursing interventions, and management by consulting another member of the health care team. Methods A multiple segment factorial survey design was used. Vignettes reflecting the complexity of real-life scenarios were randomly generated by using different values of each independent variable. Surveys containing the vignettes were sent to nurses at 2 level I trauma centers. Multiple regression was used to determine which variables influenced judgments about secondary brain injury. Results Judgments about risk for secondary brain injury were influenced by a patient’s oxygen saturation, intracranial pressure, cerebral perfusion pressure, mechanism of injury, and primary diagnosis, as well as by nursing shift. Judgments about interventions were influenced by a patient’s oxygen saturation, intracranial pressure, and cerebral perfusion pressure and by nursing shift. The initial judgments made by nurses were the most significant variable predictive of follow-up judgments. Conclusions Nurses need standardized, evidence-based content for management of secondary brain injury in critically ill patients with traumatic brain injury.

show abstract

Section: Situational Variables and Nurses' Judgmentsmentioning

confidence: 99%

“…27 Hypertension and diabetes occur in 28% to 73% and increase mortality rates. 26,28,29,61 Most TBI patients are 15 to 34 years old. Age is a strong predictor of outcome in TBI patients.…”

Section: Correlational Analysis Of Dependent Variablesmentioning

confidence: 99%

Judgments of Critical Care Nurses About Risk for Secondary Brain Injury

McNett

Doheny

Sedlak

et al. 2010

American Journal of Critical Care

View full text Add to dashboard Cite

show abstract

“…The elderly are more likely to die of chest injury. Any weakness or a condition of previous health interfered with 50% of deaths in elderly 2005 EUA CINAHL Scheetz LJ (33) .…”

Section: Retrospective Cohort (N= Fatal Accidents Nass/ Cds/1992 To 2mentioning

confidence: 99%

“…Of these, six were developed by researchers at the Latin American Center for the Study of Violence and Jorge Careli Health (CLAVES) from the National School of Public Health Sergio Arouca (9,(12)(13)(14)(16)(17) . Another country that had a high percentage of studies were the United States, with a total of nine publications (28.1%) (6,11,19,(26)(27)(31)(32)(33)(34) .…”

mentioning

confidence: 99%

Trauma in the elderly caused by traffic accident: integrative review

Santos

Rodrigues

Diniz

2015

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective:To describe the scientific knowledge produced about trauma in the elderly caused by traffic accidents in healthcare area studies. Methods: Integrative review of studies from 2003 to 2013 searched in LILACS, SciELO, PubMed and CINHAL databases. We used combination of the descriptors injuries, wounds and accidents, in English, Portuguese and Spanish languages. Results: 32 studies were selected. In the thematic analysis, three categories emerged: epidemiological data from traffic accidents involving elderly; traffic accidents with elderly pedestrians; and trauma care in the elderly. We observed increased incidence of trauma in most countries and pedestrians represented a large part of the victims. Among these, the elderly are the most vulnerable group. Conclusion: Studies showed that trauma care in the elderly need protocols and professionals with training in gerontology specialized in trauma care services.

show abstract

“…Other studies have associated such comorbidities with increased mortality. 23,24 Tertiary surveys have been shown to be an important method of screening for missed injuries in trauma patients. 25,26 In this cohort, the incidence of tertiary survey was related to time in hospital.…”

Section: Patterns Of Injury and Orthopaedic Managementmentioning

confidence: 99%

Orthopaedic trauma from road crashes: is enough being done?

Donaldson

Brooke²,

Faux³

2009

Aust. Health Review

View full text Add to dashboard Cite

A file review of patients presenting to the Emergency Department of St Vincent's Hospital with fractures sustained in a road crash was completed to describe patterns of orthopaedic injury, acute intervention and separation as well as the cost of care for adult road crash victims. One-hundred and eighty-seven patients were included. 65.8% were male; 48.1% were pedestrians. Differing patterns of injury corresponded to the role of the patient in the road crash (eg, pedestrian, driver of vehicle, etc). The mean length of stay was 8.8 days. 35.2% of patients were prescribed a different analgesic at discharge to that which they had received in the previous 24 hours. 35.8% had a documented discussion regarding insurance matters, usually with a social worker. 11.9% were discharged to inpatient rehabilitation. 56.2% had orthopaedic follow-up arranged at discharge, while 4.8% were discharged to an outpatient rehabilitation clinic. The mean overall cost was $13 336, with patients aged over 65 costing the most.The quality of acute care for fractures sustained in road crashes could be improved with evidencebased analgesia management, increased screening for psychiatric sequelae, enhanced assistance with insurance matters and vocational issues, and closer follow-up. Further research into the impact of these factors on long-term recovery is war- ranted.

show abstract

Relationship of age, injury severity, injury type, comorbid conditions, level of care, and survival among older motor vehicle trauma patients

Cited by 30 publications

References 40 publications

Judgments of Critical Care Nurses About Risk for Secondary Brain Injury

Judgments of Critical Care Nurses About Risk for Secondary Brain Injury

Trauma in the elderly caused by traffic accident: integrative review

Orthopaedic trauma from road crashes: is enough being done?

Contact Info

Product

Resources

About