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2009, Number 1

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Cir Gen 2009; 31 (1)

Epidemiology of surgical closed abdominal trauma in the state hospital “Carlos Chagas” of Rio de Janeiro, Brazil, from 2006 to 2008

García FA, Botelho GL

Language: Spanish
References: 21
Page: 21-25
PDF size: 60.04 Kb.


ABSTRACT

Objective: To know the epidemiology of closed abdominal trauma in the state hospital “Carlos Chagas”.
Setting: State hospital “Carlos Chagas”.
Design: Retrospective, descriptive transversal study.
Statistical analysis: Percentages as summary measure for qualitative variables.
Material and methods: Systematic review of the clinical records of all patients cared for at the Emergency Ward with a diagnosis of closed abdominal trauma and who were later on operated, from 2006 to 2008. Analyzed variables were: age, gender, clinical condition, injured organs, degree of injuries, presence of hemoperitoneum, type of surgical repair, injury scale (IS), organic injury severity score (OISs), abdominal trauma index (ATI), revised trauma score (RTS), complications, number of surgical interventions, hospital stay in days, condition of the patient at discharge time.
Results: A total of 84 patients were within the inclusion criteria, 82.7% were men and 17.3% were women. Average RTS was 7,215. Severity of trauma was determined by the IS, OISs, and ATI and was estimated between moderate to severe. The main injured organ was the small intestine with a III injury degree. Prevalence of complications was of 14,2%. Mortality was of 1%. Patients with the highest OISs had the highest mortality rate.
Conclusions: Injuries were more prevalent in men. Severity of injuries was from moderate to severe. In our hospital, we have no established protocols for the management of trauma surgery; therefore, it is important for us to develop management guidelines for the assessment and the behavior to be followed for trauma surgery patients.


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