Characterization of patients with severe trauma in an Intensive Care Unit

Introduction: severe trauma has a great impact on both health and economy in present-day society, with great incidence worldwide and in Cuba. Objective: to characterize patients with severe trauma admitted to the intensive care unit at Arnaldo Milián Castro Clinical Surgical Teaching Hospital durin...

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Những tác giả chính: Carlos Herrera-Cartaya, Javier Alejandro Bermúdez-Ruiz, José Vladimir Brunet-Liste, Amalia Inés Luna-Capote, Heidy Rego-Avila
Định dạng: Bài viết
Ngôn ngữ:English
Được phát hành: Universidad de Ciencias Médicas de Pinar del Río 2020-01-01
Loạt:Universidad Médica Pinareña
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Truy cập trực tuyến:http://revgaleno.sld.cu/index.php/ump/article/view/379
Miêu tả
Tóm tắt:Introduction: severe trauma has a great impact on both health and economy in present-day society, with great incidence worldwide and in Cuba. Objective: to characterize patients with severe trauma admitted to the intensive care unit at Arnaldo Milián Castro Clinical Surgical Teaching Hospital during 2017. Methods: a descriptive, longitudinal and retrospective observational study was conducted in a population of 97 patients, working with all of them.  Clinical records were reviewed; taken data to a database and analyzed in SSPS 21.0. Descriptive statistics was applied using absolute and relative percentage frequencies. Results: male patients (81,44 %) predominated, as well as the age group 35-44 years (37,11 %). Car accidents (57,73 %) and stabbing injuries (26,8 %) were found to be the main mechanisms of injury. Cranioencephalic (39,18 %) and thoracic traumas (21,65 %) prevailed. The most frequent complications were sepsis (23,71 %), nosocomial pneumonia (17,53 %) and hypovolemic shock (15,47 %); 70,1 % of the patients were discharged alive. Conclusions: male patients in the third decade of life are prone to suffer trauma; mainly caused by car accidents. Cranioencephalic and thoracic traumas are common injuries in these patients. Sepsis and pneumonia associated with mechanical ventilation were frequent complications.
số ISSN:1990-7990