medigraphic.com
ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2005, Number 2

Next >>

Cir Gen 2005; 27 (2)

Epidemiological characteristics of trauma in the rural medium of the “Huasteca Potosina”

Carreón-Bringas RM, Rodríguez-Paz CA

Language: Spanish
References: 14
Page: 109-113
PDF size: 56.17 Kb.


ABSTRACT

Objective:The purpose of this work is to describe the epidemiologic pattern of traumatic injuries in the department of surgery of a rural area.
Setting:Two second level health care rural hospitals (RH).
Study design:Restrospective, transversal, descriptive, observational study with no control group.
Patients and methods: We studied 10068 admissions from January 1, to December 31, 2003 in RH 41 Cerritos and RH 44 in Zacatipan. Those patients operated by general surgery, type of lesions, causing agent, and admission diagnosis were all studied.
Results: A total of 148 patients were taken care of, 78% were men, and mean age was 42 years. Blunt lesions of the extremities, thorax and abdomen prevailed (p ‹ 0.0001), with 12% being autolesions, and 49% were caused by farm animals. 7.9% of the patients were referred to other hospitals, and mortality was 2.9%.
Conclusion: Emergency should be solved in RH, if capacitated personnel and adequate materials are available. Travel distances and low economic resources of citizens limit admission to other facilities. Blunt lesions caused by animals and injuries to the extremities prevailed.


REFERENCES

  1. Dodge GG, Cogbill TH, Miller GJ, Landercasper J, Strutt PJ. Gunshot wounds: 10-year experience of a rural, referral trauma center. Am Surg 1994; 60: 401-4.

  2. Cabral SR. Ed. Manual de Cuerpo de Gobierno. Ediciones del Programa IMSS Oportunidades. México 2002.

  3. Cone JB. Tertiary trauma care in a rural state. Am J Surg 1990; 160: 652-4.

  4. Rinker CF, Sabo RR. Operative management of rural trauma over a 10-year period. Am J Surg 1989; 158: 548-51.

  5. Bintz M, Cogbill TH, Bacon J. Rural trauma care: role of the general surgeon. J Trauma 1996; 41: 462-4.

  6. Torres MJ, Perez-Cerezal MM, Regife GV, Camacho PT, Pérez-Cerezal ME, Muñoz IMC, et al. Hospital follow-up of referred patients over a year from the emergency service at a rural health center. Aten Primaria 1991; 8: 30-4.

  7. Weinberg JA, McKinley K, Petersen SR, Demarest GB, Timberlake GA, Gardner RS. Trauma laparotomy in a rural setting before transfer to a regional center: does it save lives? J Trauma 2003; 54: 823-8.

  8. Aaland MO, Smith K. Delayed diagnosis in a rural trauma center. Surgery 1996; 120: 774-8.

  9. Rodríguez-Paz CA, Carreón-Bringas RM, Causas de intervención quirúrgica en un Hospital Rural de San Luis Potosí. Cir Gen 2001; 23 (SupI 1): S52.

  10. Wenneker WW, Murray DH Jr, Ledwich T. Improved trauma care in a rural hospital after establishing a level II trauma center. Am J Surg 1990; 160: 655-7.

  11. Stewart BT, Lee V, Danne PD. Laparotomy for trauma in a regional center: the effect of delay on outcome. Aust N Z J Surg 1994; 64: 484-7.

  12. Mather C, Lower T. Farm injury in Tasmania. Aust J Rural Health 2001; 9: 209-15.

  13. Lambrecht R, Teklemariam N. Penetrating chest injuries. Ethiop Med J 1989; 27: 223-7.

  14. Loro A, Franceschi F. Finger amputations in Tanzania. East Afr Med J 1992: 69: 697-9.




2020     |     www.medigraphic.com