Díaz-Rosales JD, Enríquez-Domínguez L, Arriaga-Carrera JM, Gutiérrez-Ramírez PG

Language: Spanish
References: 10
Page: 9-13
PDF size: 71.90 Kb.

ABSTRACT

Objective: To know the epidemiological characteristics of penetrating trauma in the thorax and abdomen in Ciudad Juárez, Chihuahua, Mexico.
Design: Descriptive, transversal study.
Setting: General Hospital of Ciudad Juárez (Second level health care hospital).
Statistical analysis: Percentages as summary measure for qualitative variables.
Patients and methods: Patients with penetrating trauma of the thorax and abdomen. Studied variables were: gender, origin, age, schooling, socioeconomic level, occupation, day of week and time at which the incident occurred, presence and type of intoxication, alcohol and/or drugs, type of injury, mechanism of injury, time elapsed between the injury and hospitalization, anatomic site of the trauma, reason for discharge, and prehospitalization care.
Results: Hundred-four patients were included in the study; 101 men and 3 women; 77% were born in Ciudad Juárez; average age of 29.1 years (range, 14 to 60), mean of 27. Grade school, incomplete or finished, 57.7%; junior-high school incomplete or finished, 30.7%; low socioeconomic level, 78.8%; fixed employment, 38.46%; temporal employment, 30.77%; unemployed, 20.19%; drug traffic-related activities, 5.7%; students, 2.88%; and housewives, 1.92%; 55,7% of the injuries occurred on Saturdays and Sundays followed by Fridays with 12.5%. Time of injury: 16.3% at 03:00 h, 14.42% at 23:00 h, 12.50% at 02:00 h, and 12.50% at 01:00 h; 72.1% were related with intoxication; 62.5% were cared for during the first hour and 26.9% on the second hour post-injury. Prehospital care was given to 60%; 56.73% suffered gunshot injuries and 43.27% were caused by cutting weapons; 44.2% in the abdomen, 38.4% in the thorax, and 17.3% in both, thorax and abdomen. Street fights corresponded to 69.23%; 94.23% were discharged after improving; 3.85% died, and 1.92% were transferred to another hospital.
Conclusion: The highest frequency of penetrating trauma to the abdomen and thorax in Cd. Juárez occurs in 27-year-old men, of low educational level, under the effects of alcohol or drugs during street fights between 23:00 and 03:00 h from Fridays to Sundays. Occupation has no relation with the frequency of injuries; 40% did not receive pre-hospital care.

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