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2014, Number 4

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Revista Cubana de Cirugía 2014; 53 (4)

Mortality for traumatic injuries in hospitalized patients

Domínguez GEJ, Cisneros DCM, Piña PLR

Language: Spanish
References: 21
Page: 324-335
PDF size: 94.65 Kb.


ABSTRACT

Introduction: trauma has become a pandemic that has a severe socio-economic impact, high morbidity and mortality rates and in many occasions, permanent sequelae. All this requires that the health care system faces this type of pathology with a multisectoral approach in order to reduce damages through multiple strategies.
Objective: to characterize dead patients who had been admitted to hospital for traumatic injuries.
Methods: observational, descriptive and cross-sectional study of 40 dead patients who had been admitted to "Saturnino Lora Torres" provincial hospital for trauma injuries during the period from January 2010 to December 2012. The Chi square test for independence was estimated to identify any significant statistical association among selected variables with a significance level of p ‹ 0.05.
Results: it was found that in-hospital fatality rate of this sample was mainly in young multi-trauma patients. Thoracic trauma from stabbing prevailed in males. Most patients were operated on at the emergency service and two organ damages predominated. As for the type of intervention, definitive surgery prevailed over the damage control type. The main complication and cause of death was hypovolemic shock.
Conclusions: the mortality rate of the series was primarily estimated by the severity of injuries; adverse events were frequently the cause of death.


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