title: Nursing diagnoses in trauma victims with fatal outcomes in the emergency scenario.
abstract: 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.
authors.affiliation: Escola de Enfermagem, Universidade de São Paulo, SP, Brazil. easallum.fnr@terra.com.br
authors.forename: Ana Maria Calil
authors.initials: AM
authors.lastname: Sallum
authors.forename: Jair Lício Ferreira dos
authors.initials: JL
authors.lastname: Santos
authors.forename: Fernão Dias de
authors.initials: FD
authors.lastname: Lima
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D004630:Emergencies; D006801:Humans; D009733:Nursing Diagnosis; D012307:Risk Factors; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000401:mortality*; D055815:Young Adult