Mortalidad y estancia hospitalaria relacionada con trauma ocupacional atendido durante el fin de semana en el servicio de emergencias, Bogotá 2007-2010

Abstract

Objective. The outcomes of acute occupational trauma (AOT) may be conditioned to development industrial and at the time of the week of occurrence; hospital mortality and stay were compared for workers who present AOT at different times of the week. Methods. Retrospective descriptive study, in which the administrative database of workers assisted by AOT, between January 2007 and December 2010, in a Clinic of III level in Bogotá, the median length of hospital stay (HS) and mortality risk (OR; 95% CI) in patients treated by AOT during the week (ES) and on weekends (FdS); the frequency of events was weighted (p) by days ES-p (4 days) and FdS-p (3 days). Results 65,169 medical records were evaluated, in weekend and in ES-p there were 4295 and 13071 AOT, respectively; AOT predominated in men, adult-young (median age 30-33) years). The median of HS ES was 0.43 hours (h) and in FdS 0.48 h (p: 0.000). The AOT occurred in workers aged 45-64 years (3.47, 1.76-6.76), attended at night (3.27, 1.64-6.40), in FdS (4.57, 1.25-18.4) and at night-FdS (4.49, 1.64-14.0) presents the highest risk of mortality. Conclusion. The workers attended by AOT during the FdS have higher HS, risk of death and low frequency of care by Specialized Medicine that is attended by ES. The protocols Institutional attention by AOT could contemplate this effect, to provide attention safe and equitable, independent of the moment of attention.