Prevalencia de mortalidad y factores asociados en pacientes con diagnóstico de trauma de tórax y abdomen moderado y severo, ingresados al servicio de emergencia del Hospital Vicente Corral Moscoso. Cuenca, periodo 2016 – 2018

Abstract

Introduction: in Ecuador, deaths due to accidental trauma are the leading cause of death in patients of productive age. In HVCM, this is traffic accidents. There are no data that characterize the mortality of trauma in order to the associated factors that can cause serious injuries, alter the quality of life, or cause the death of the patient. Objective: To determine the prevalence of mortality and factors associated with moderate and severe trauma to the chest and abdomen, admitted to the Vicente Corral Moscoso hospital. Cuenca, period 2016 - 2018. Materials and Methods: Cross-sectional analytical study, data were collected from medical records with a diagnosis of chest and abdomen trauma, from January 2016 to December 2018. Results: Mortality was 18.9%; men aged 18-29 with 48.3%, victims of traffic accidents (PR = 4.24; p = 0.001), tachycardia (PR = 2.7 p = 0.027), hypotensive (PR = 5.05 p = <0.001), with severe ISS (PR = 7.1 p = 0.000). DCS and whole blood transfusion were associated with higher mortality. Trauma location is not a risk factor. Conclusions: the highest prevalence is in male patients, of productive age; hemodynamic instability, severity of trauma, traffic accidents, determine its prognosis and mortality; We consider that the treatments received have a greater tendency to mortality, this due to causes other than trauma, without being associated with mortality in these specific cases.