Miranda RJA, Hernández MJI

Language: Spanish
References: 15
Page: 256-261
PDF size: 88.18 Kb.

ABSTRACT

The objective of this paper is to present the epidemiological profile of the patients admitted into the Resuscitation Service at Balbuena General Hospital with the diagnosis of pelvic fracture. Material and method. A cross-sectional, observational, retrospective, descriptive trial was undertaken by means of reviewing the patient charts of the patients admitted to the Resuscitation Service, Balbuena General Hospital, with the diagnosis of pelvic fracture, from July 1^st, 2004 to June 31^st, 2005. The study variables were day, month, shift in charge of admission, age, gender, marital status, schooling, employment, socioeconomic status, length of transfer to the hospital, site of the accident, mechanism of injury, history of alcoholic beverage intake, use of toxic substances, type of fracture and treatment. The data base and the analysis were done in Excel software, using the central trend statistical tests. Due to its characteristics, the study constitutes a clinical research that involves no risk from the bioethical standpoint. Results. Of the 507 patients admitted to the resuscitation service due to trauma, 93 sustained a pelvic fracture, 310 serious head trauma, 209 chest trauma, 197 abdominal trauma, and less than 30% of them sustained other injuries such as electrical burns, facial trauma, etc. Most frequent day and shift at the time of admission: week end, night shift. Age range was 15 to 85 years, mean age was 34.59 years. Pelvic fracture was more frequent among males, which accounted for 78.5% (73 cases), and those working in trade activities (23.6%). Patients run over by a motor vehicle in freeways represented 83.8% and the length of transportation to the hospital was less than one hour in 62 of them (66.6%). Intake of alcoholic beverages and use of illicit drugs was reported in 43% of them (40 cases). The most frequent type of fracture was Tile type B2 accounting for 51.6 percent. Conclusions. It is fundamental to recognize the epidemiology of polytraumatized patients with pelvic fractures, since consequences are devastating for both patients’ life and function. This will allow to better treat these injuries. The use of external fixators as part of the initial treatment protocol at the Resuscitation Service within trauma hospitals and the necessary supplies at critical shifts and days... .

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