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2019, Number 3

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Revista Cubana de Cirugía 2019; 58 (3)

Prognostic value of severity indices in traumatic colon and rectal injuries

Pinilla GRO, Gutiérrez GF, Morales MNA

Language: Spanish
References: 18
Page: 1-11
PDF size: 285.88 Kb.


ABSTRACT

Introduction: Trauma severity indices are a series of scales that describe the severity of a traumatized individual and are associated with their prognosis and probability of survival.
Objective: To determine the prognostic value of anatomical severity indices in the evolution of patients with traumatic lesions of the colon and rectum.
Methods: A descriptive observational and cross-sectional study was carried out. Patients with traumatic lesions of the colon or rectum who underwent surgery in four Havana hospitals in the period 2008-2015 were included. The data was collected from the medical history. Frequency distribution analysis and receiver characteristic operation curves (ROC curves) were used.
Results: The average age of the patients 37.4 years (standard deviation 13.6 years). Male sex predominated (76.7%). Of the 6 scores studied, only CIS Flint and COIS were found to be useful in predicting sepsis of the surgical wound. In the prediction of death, the largest area under the curve corresponded to COIS (0.92), followed by NISS (0.86) and then CIS Flint (0.81). The calculated optimal cut-off points were:› 3 for COIS, › 24 for NISS and › 2 for CIS Flint.
Conclusions: The value of the COIS and Flint indices is demonstrated to predict the occurrence of complications in patients with traumatic lesions of the colon and rectum, and the usefulness of the different indices in the prognosis of death.


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