Pedraza AYA, García CL, Carrillo SJ, Huape AMS, Ángeles GD, Larios GRM

Language: Spanish
References: 19
Page: 109-116
PDF size: 102.15 Kb.

ABSTRACT

Objective: To assess the usefulness of the Trauma Injury Score Scale (TRISS) as a predictor of survival in patients with abdominal penetrating trauma.
Setting: General Hospital “Dr. Miguel Silva” SSM in Morelia, Michoacán, Mexico.
Design: Retrospective, transversal, comparative study.
Statistical analysis: Descriptive and inferential, Student’s t, Mann Whitney U, and Spearman’s correlation tests.
Material and methods: All patients with penetrating trauma of the abdomen admitted in the Surgery Service of our hospital in 103 months were included.
Results: A total of 172 patients, 159 (92.4%) men and 13 (7.6%) women, average age of 28.9 years were studied; of these, 65 patients presented gunshot wounds and 107 stabbing wounds. Mortality was of 9.9% (17 patients). The 155 survivors has a survival probability › 0.5 and were considered expected survivors. Among the 17 deaths, 16 had a survival probability › 0.5 and were considered unexpected deaths, whereas only one of the deaths had a survival probability of ‹ 0.5, i.e., expected death.
Conclusions: In our study we found a 4.5% of unexpected deaths due to stabbing wounds and of 18.03% due to gunshots; therefore, the TRISS must be modified in its coefficients as it still presents prediction failures.

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