Sarmiento-Altamirano D1*, Martínez K2, Panamito D3, Arpi J4, Valdivieso R5 and Leon-Gomez P6
1Universidad del Azuay, Hospital José Carrasco Arteaga, Ecuador 2Ministerio de Salud Pública-Hospital Marco Vinicio Iza, Ecuador 3Instituto Ecuatoriano de Seguridad Social-Hospital General IESS, Ecuador 4Ministerio de Salud Pública, Hospital Misereor, Ecuador 5Hospital José Carrasco Arteaga, Ecuador 6University of Cuenca, EcuadorFulltext PDF
Objective: To determine early severity in patients with surgical trauma of the thorax, abdomen and pelvis. Methods: Cross-sectional study at the Hospital José Carrasco Arteaga Cuenca-Ecuador (2018- 2020). Seventy-one patients met the inclusion criteria. We studied demographic variables, vital signs and blood tests. The dependent variable was admission to the ICU. All values were taken at patient admission, frequencies, percentages, measures of central tendency, or (95% CI) were performed. Results: Male patients represented 83.1%; the mean age was 31 years, the mean time to hospital was 36 min. 81.7% presented blunt trauma and the main cause was traffic accidents (57.7%). Furthermore, 38% of patients required a transfusion, the main cause being traffic accidents (57.7%). 38% required a blood transfusion. The risk factors that were significant in predicting severity were: HR greater than 100, MAP less than 70, SBP less than 90, Excess base greater than -6, pH less than 7.25, PT greater than 14.5, bicarbonate less than 17.5. Mortality was 5.6%. Conclusion: early predictors of severity in surgical trauma of the thorax, abdomen and pelvis will allow taking measures upon admission of a traumatized patient, with simple and accessible parameters.
Hemorrhage; Shock; Hypovolemia; Trauma
Sarmiento-Altamirano D, Martínez K, Panamito D, Arpi J, Valdivieso R, Leon-Gomez P. Prediction of Severity in Patients with Surgical Trauma of the Thorax, Abdomen and Pelvis. World J Surg Surgical Res. 2022; 5: 1412..