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    Pacientes com lesões traumáticas decorrentes de acidentes de trânsito: análise do tempo de permanência na sala de emergência
    (Universidade Federal de São Paulo (UNIFESP), 2019-04-25) Aguiar, Katiuscia Larsen De Abreu [UNIFESP]; Whitaker, Iveth Yamaguchi [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objectives: To characterize patients with traumatic injuries due to traffic accidents admitted to emergency room (ER), analyze the length of ER stay up to the referral to operating room, intensive care unit (ICU), or hospital wards, and verify the association of length of ER stay with age, gender, type of traffic accident, day period of incident, type of prehospital care (PHC), amount of computed tomography (CT) scan undertaken, time up to cranial CT, number of specialists, injury and trauma severity, length of hospital and ICU stay, complications, type of hospital discharge, recovery after hospital discharge, and readmission. Method: Prospective cohort study for the follow-up of patients with traumatic injuries due to traffic accidents, since their admission into the ER up six months after hospital discharge. Data from patients admitted to ER due to traffic accidents aged more 14 years old in 2015 were included in the sample. Kruskal-Wallis, Chi-square, or likelihood-ratio tests were used to observe the association between length of ER stay and study variables, considering a 5% significance level and a 95% confidence interval. Results: The sample included 327 patients of which 82% were men, mean age was 34 years, primarily (58.7%) affected by motorcycle accidents, 97.2% suffered minor, moderate, and serious injuries. The length of ER stay mean was 4.8 hours. The longest length of ER stay was associated with the time for undertaking cranial CT scan (p=0.0039), trauma severity (anatomical p=0.0056 and physiological p=0.0141), and complications (p=0.0241). Among those who stayed in the ER for up to two hours, the highest percentage (37.1%) was referred to the green sector (p<0.0001), and was associated with motorcycle accidents (p=0.0147) and basic support (p=0.0478). Conclusion: The length of ER stay of patients with traffic accident injuries was 4,8 hours in average. It was associated with factors indicating trauma severity. Severe patients were observed in longer ER time intervals than those with lesser severity. Considering the high demand of patients in emergency department and for the therapeutic and monitoring needs of critically ill patients to be met at a time and place appropriate to their conditions, the organization of hospitalized patient flow should be part of health public service management agenda.