Prevalencia de la cirugía de control de daños en pacientes diagnosticados con trauma abdominal y toracoabdominal en el Hospital Traumatológico Dr. Ney Arias Lora; Período enero 2014-diciembre 2015, Santo Domingo, República Dominicana
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Subject
surgery
damage control surgery
trauma
abdominal trauma
thoracoabdominal trauma
cirugía
cirugía de control de daños
trauma
trauma abdominal
trauma toracoabdominal
damage control surgery
trauma
abdominal trauma
thoracoabdominal trauma
cirugía
cirugía de control de daños
trauma
trauma abdominal
trauma toracoabdominal
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Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Objetivo: determinar la prevalencia de la cirugía de control de daños y el impacto sobre la recuperación de los pacientes con trauma abdominal y toracoabdominal.
Materiales y métodos: Se realizó una investigación de tipo observacional, descriptiva y transversal, con información retrospectiva, donde se revisaron los expedientes de 32 pacientes diagnosticados con trauma abdominal o toracoabdominal, a los que se les haya realizado la cirugía de control de daños en el Hospital Traumatológico Dr. Ney Arias Lora, en el período enero 2014-diciembre 2015.
Resultados y discusión: El 59% (n=19) de los pacientes tenían entre 15-30 años. El 81% (n=26) eran del sexo masculino. El 53% (n=17) presentó trauma cerrado de abdomen, mientras que 44% (n=14) presentó el accidente de vehículo de motor como causa de traumatismo. En los hallazgos quirúrgicos un 31% (n=10) presentó la lesión hepática AAST Grado IV. El 66% (n=21) de los casos no presentó complicaciones, y un 16% (n=5) presentó alteraciones hemodinámicas. La tasa de mortalidad durante o después de la realización de dicho procedimiento fue de 0.0317 x 1000, lo cual también puede ser expresado como proporción de mortalidad de 32%.
Conclusiones: los jóvenes y adultos del sexo masculino son los más propensos a sufrir accidentes de cualquier tipo, convirtiéndolos en candidatos para la realización de cirugía de control de daños. Se infiere que la mayoría de la población estuvo expuesta a accidentes de vehículo de motor, transformándose éste, en un factor de riesgo para desarrollar trauma cerrado de abdomen.
Objective: to determine the prevalence of damage control surgery and the impact on the recovery of these patients. Material and methods: an observational, descriptive, transversal, retrospective study was carried out at the Hospital Traumatológico Dr. Ney Arias Lora, information was collected from records of 32 patients diagnosed with abdominal or thoracoabdominal trauma who underwent damage control surgery in said hospital in the period January 2014 - December 2015. Results and discussion: 59% (n=19) of the patients were between 15-30 years old. 81% (n=26) were males. 53% (n=17) presented closed abdominal trauma, while 44% (n=14) presented the motor vehicle accident as the cause of trauma. In 31% (n=10) of the cases presented the surgical finding found was the AAST Grade IV liver injury. 66% (n=21) of cases presented no complications, while 16% (n=5) presented hemodynamic alterations (persistent bleeding). The mortality rate during or after the completion of this procedure was 0.0317 x1000, which can also be expressed as mortality rate 32%. Conclusions: young people and adults of male sex are most likely to suffer from accidents of any kind, making them candidates for the performance of damage control surgery. It is inferred that the majority of the population was exposed to motor vehicle accidents, transforming it into a risk factor for the development of closed abdominal trauma.
Objective: to determine the prevalence of damage control surgery and the impact on the recovery of these patients. Material and methods: an observational, descriptive, transversal, retrospective study was carried out at the Hospital Traumatológico Dr. Ney Arias Lora, information was collected from records of 32 patients diagnosed with abdominal or thoracoabdominal trauma who underwent damage control surgery in said hospital in the period January 2014 - December 2015. Results and discussion: 59% (n=19) of the patients were between 15-30 years old. 81% (n=26) were males. 53% (n=17) presented closed abdominal trauma, while 44% (n=14) presented the motor vehicle accident as the cause of trauma. In 31% (n=10) of the cases presented the surgical finding found was the AAST Grade IV liver injury. 66% (n=21) of cases presented no complications, while 16% (n=5) presented hemodynamic alterations (persistent bleeding). The mortality rate during or after the completion of this procedure was 0.0317 x1000, which can also be expressed as mortality rate 32%. Conclusions: young people and adults of male sex are most likely to suffer from accidents of any kind, making them candidates for the performance of damage control surgery. It is inferred that the majority of the population was exposed to motor vehicle accidents, transforming it into a risk factor for the development of closed abdominal trauma.
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info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol 2 No 3 (2018): Science and Health, september-december; 19-26
Ciencia y Salud; Vol. 2 Núm. 3 (2018): Ciencia y Salud, septiembre-diciembre; 19-26
2613-8824
2613-8816
10.22206/cysa.2018.v2i3
Ciencia y Salud; Vol. 2 Núm. 3 (2018): Ciencia y Salud, septiembre-diciembre; 19-26
2613-8824
2613-8816
10.22206/cysa.2018.v2i3