Agúndez MJJ, Cardoza MF

Language: Spanish
References: 19
Page: 9-17
PDF size: 98.58 Kb.

ABSTRACT

Objective: To analyze the role of the hospital in trauma care by studying the relation between the injury severity scale (ISS) of the admitting patient and the final result of treatment at the time of discharge.
Setting: Second level health care hospital.
Design: Prospective, descriptive, observational and transversal study, comprising a period of 2 years, from August 1, 1996 to July 31, 1998.
Patients and methods: We studied 584 patients, 448 men and 136 women, evaluating in survival: sequelae, disabilities, and functional state; in deaths: causes, injured anatomic region, and preventable deaths.
Results: In live patients without sequelae (80%), average ISS was 7.1, and hospital stay days were 4.8. In live patients with sequelae (15%), average ISS was 12.7 and hospital stay was in average of 11.1 days. In deaths (4.79%), average ISS was 24.4 with an average hospital stay of 8.3 days. The regions most frequently injured were extremities and pelvis, followed by head and neck lesions, which caused most disabilities and deaths. The rate of preventable deaths was 35.7%.
Conclusion: Our mortality rate agrees with that found in other institutions, but with a lower average ISS since our institution is not specialized in the care of the severe traumatized patient and requires infrastructure, technology, and training to become a third level trauma care center.

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