6 research outputs found
wounds and injuries; thoracotomy; laparotomy; emergency service, hospital; emergency treatment
Objective: To identify and analyze the factors associated with death, with a focus on performing laparotomy alone or associated with emergency thoracotomy. Method: Prospective longitudinal study of patients submitted to the “Onda Vermelha” protocol, after admission to the Risoleta Tolentino Neves Hospital, from 2011 to 2015. Descriptive analyses, Student’s t-test, χ2 test, and regression multiple binary logistics were used to identify predictors of death. Results: One hundred and thirty-two patients were studied, of which 47 (35.6%) died. The average age was 28 years old. The majority was male (90.9%), with penetrating trauma predominating in the study sample (91.7%). The trauma scores were compatible with moderate severity trauma. The average time of hospitalization and stay in the intensive care unit exceeded 10 days. Laparotomy and thoracotomy occurred in 72.7 and 28% of cases, respectively. Complications were severe for 38.6% of patients, and the most common lesions were gastrointestinal (48.5%) and abdominal vessels (28.8%). Thoracotomy, severe complications and abdominal vessel injury were more frequent among patients who died (p<0.001). Factors associated to death were: emergency thoracotomy (OR=6.9, p=0.002), severe complications (OR=6.1, p=0.010), and lesions to the abdominal and pelvic vessels (OR=16.8, p<0.001). Conclusion: Emergency thoracotomy was associated with higher odds of death, regardless of other factors, as well as the mechanism of penetrating trauma, complications and injuries to the abdominal and pelvic vessels. Survival in the presence of thoracotomy was 25.7% for victims of penetrating trauma
NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics
Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data