2001, Number 4
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Text ExtractionObjective: To identify the risk factors that foster iatrogenesis in emergency surgery due to trauma.
Setting: Third level health care hospital.
Design: Transversal, retrospective study, without control group.
Patients and methods: We reviewed the clinical records of traumatized patients admitted to the emergency room of the Central Military Hospital during a 2-year period (1998-99) and who presented a complication during hospitalization. We identified some factors that propitiated these complications and classified them in four stages.
Results: We reviewed 756 clinical records of patients with abdominal trauma subjected to surgery; in 46 (6%) of them, some kind of complication was encountered. Most of the risk factors analyzed occurred during the pre-operative stage in 19 (37%) patients; in 13 (28%) they occurred during the surgery; in 9 patients (21%) they occurred during the postoperative stage, in only 5 (14%) patients, they were found during the initial evaluation stage.
Conclusion: The risk of iatrogenesis in traumatized patients requiring surgery was of 6% in this series. Adequate initial evaluation is the main factor to prevent iatrogenesis in the traumatized patient.
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