medigraphic.com
ISSN 1561-2945 (Print)

2016, Number 2

<< Back Next >>

Revista Cubana de Cirugía 2016; 55 (2)

Characterization of injured patients with traumatic hemopneumothorax at 'General Calixto García' University Hospital (2012-2014)

Espinoza VSO, Frías MEF, Torres GJO, Larrea FME

Language: Spanish
References: 16
Page: 106-115
PDF size: 110.53 Kb.


ABSTRACT

Introduction: thoracic trauma is a common cause for early and late mortality, occurring in 25 % of all injured patients.
Objective: to characterize the clinical and epidemiological behavior of the injured patients with traumatic hemo-pneumothorax.
Methods: a descriptive, retrospective, longitudinal study was carried out, involving 357 injured patients diagnosed with traumatic hemo-pneumothorax and admitted to the general surgery service at "General Calixto García" University Hospital from January 1, 2012 until December 31, 2014. The variables included were age, sex, cause for trauma, pre-hospital and hospital care, severity rate of injury, associated injuries, hospital stay and discharge status.
Results: there was a predominance of males (78.1 %) and of ages 20-39 years (26.0 %). Traffic accidents were the main cause for trauma and severity increased by the presence of hypovolemic shock trauma and spinal cord injuries. According to the injury severity index, 53.3 % of the injured patients were classified as moderate. 41.2 % of the injured patients arrived at the hospital 1-2 hours after the trauma. The hospital stays for highest number of admitted alive was between four and five days. The deaths occurred mostly after seven days. Associated injuries and decompensation of chronic diseases were causes for the largest amount of deaths (12.9 %, n= 46).
Conclusions: the clinical and epidemiological characteristics of the injured patients with traumatic hemo-pneumothorax match those reported by national and international studies.


REFERENCES

  1. Hartholt KA, Stevens JA, Polinder S, Van de Cammen JM, Patka P. Increase in Fall-Related Hospitalizations in the United States, 2001-2008. J Trauma. 2011;70:255-9.

  2. Díaz NR, Mursulí AL, Isaac R, Pérez A, González JAC, San Miguel DO, et al. Hemotórax traumático en un periodo de tres años. Rev Cubana Cir. 2013;52:101-7.

  3. Mederos ON, Adefna Pérez RI, Armas Pérez BA. Cirugía Torácica. Comentario de casos clínico quirúrgicos. La Habana: Editorial de Ciencias Médicas; 2012. p. 359-65.

  4. Crash-2 trial collaborators. Effects of tranexamic acid on death, vascular occlusive events, oral blood transfusion in trauma patients with significant haemorrhage (CRASH-2): arandomized, placebo-controlled trial. West Indian Med J. 2010;59:612-24.

  5. Levy JH. Antifibrinolytic therapy: new data and new concepts. Lancet. 2010;376:3-4.

  6. Muñoz Sánchez A, Murillo Cabezas F. El ácido tranexámico disminuye la mortalidad del choque hemorrágico traumático. Med Intensiva Barcelona. 2011;35:286-7.

  7. Baker SP, O'Neill B, Hadden W, Long WB. The injury severity score: A method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14:187-96.

  8. Valenzuela M, Cancino P, Cabezas F. Experiencia en traumatismo torácico Hospital Valparaíso. Rev Chil Cir. 2004;5:449-53.

  9. Castellanos González J, Leal Musulí A, Adefna Pérez R, Ramos Díaz N. Comportamiento de la atención integral de los traumatismos torácicos en el Hospital Dr. Miguel Enríquez. Rev Cubana Cir. 2011;50:41-78.

  10. Soler Vaillant R, Pereira Riverón R, Naranjo Castillo GV, Benítez Hernández J, Cepero Valdés M, García Araujo AM, Carriles Picazo MJ. Traumas torácicos en Atención al traumatizado. En: Soler Vaillant R y otros. La Habana: Editorial de Ciencias Médicas; 2011. ISBN 978-959-212-684-8.

  11. Anuario Estadístico de Salud. Dirección Nacional de Registros Médicos y Estadísticas de Salud. La Habana: Ministerio de Salud Pública; 2015.

  12. Orozco SP, Torres L, Otzoy HL. Trauma torácico en la provincia de Cienfuegos. Estudio de tres años. Medisur. 2014;12:77-84.

  13. Nazario AM, Matos EM, Falcón CG, Ramiro F, Domínguez J, García L. Características clínicas y terapéuticas en pacientes con hemotórax traumático. Rev Cubana Cir. 2015;54:96-103.

  14. Kumar S, Gupta HO, Pandey A, Kumar A, Ahmad A, Kumar M, et al. Thoracic trauma trends in Northern India- single center experience. Indian J Thorac Cardiovasc Surg. 2013;29:167-70.

  15. Kong V, Sartorius B, Clarke D. Traumatic tension pneumothorax: experience from 115 consecutive patients in a trauma service in South Africa. Eur J Trauma Emerg Surg. 2016;42:55-9.

  16. Dongel I, Coskun A, Ozbay S, Bayram M, Atli B. Management of thoracic trauma in emergency service: Analysis of 1139 cases. Pak J Med Sci. 2013;29:58-63.




2020     |     www.medigraphic.com