Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo
ABSTRACT: To describe the mortality and the main secondary complications in patients with high-energy orthopedic trauma treated at the emergency service of the Hospital Universitario San Vicente Fundación. Methodology: descriptive retrospective study carried out in an 18-month period with patients f...
- Autores:
-
Guerra Jiménez, Jadith
Posada Upegui, Juan Camilo
Giraldo Salazar, Olga Lucía
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2018
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- spa
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/10663
- Acceso en línea:
- http://hdl.handle.net/10495/10663
- Palabra clave:
- Accidentes de tránsito
Indicadores de Morbimortalidad
Fracturas óseas
Heridas y Lesiones
Salud pública
Accidents, Traffic
Fractures, Bone
Indicators of Morbidity and Mortality
Public Health
Wounds and Injuries
- Rights
- openAccess
- License
- https://creativecommons.org/licenses/by-nc-sa/2.5/co/
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| dc.title.spa.fl_str_mv |
Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo |
| dc.title.translated.spa.fl_str_mv |
Morbimortality of High-energy Orthopedic Trauma: a Descriptive Retrospective Study |
| title |
Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo |
| spellingShingle |
Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo Accidentes de tránsito Indicadores de Morbimortalidad Fracturas óseas Heridas y Lesiones Salud pública Accidents, Traffic Fractures, Bone Indicators of Morbidity and Mortality Public Health Wounds and Injuries |
| title_short |
Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo |
| title_full |
Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo |
| title_fullStr |
Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo |
| title_full_unstemmed |
Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo |
| title_sort |
Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo |
| dc.creator.fl_str_mv |
Guerra Jiménez, Jadith Posada Upegui, Juan Camilo Giraldo Salazar, Olga Lucía |
| dc.contributor.author.none.fl_str_mv |
Guerra Jiménez, Jadith Posada Upegui, Juan Camilo Giraldo Salazar, Olga Lucía |
| dc.subject.none.fl_str_mv |
Accidentes de tránsito Indicadores de Morbimortalidad Fracturas óseas Heridas y Lesiones Salud pública Accidents, Traffic Fractures, Bone Indicators of Morbidity and Mortality Public Health Wounds and Injuries |
| topic |
Accidentes de tránsito Indicadores de Morbimortalidad Fracturas óseas Heridas y Lesiones Salud pública Accidents, Traffic Fractures, Bone Indicators of Morbidity and Mortality Public Health Wounds and Injuries |
| description |
ABSTRACT: To describe the mortality and the main secondary complications in patients with high-energy orthopedic trauma treated at the emergency service of the Hospital Universitario San Vicente Fundación. Methodology: descriptive retrospective study carried out in an 18-month period with patients following the inclusion criteria and after a search conducted in the hospital’s database. 10,259 patient medical records were reviewed, out of which 161 followed the inclusion criteria. The quantitative variables were analyzed by standard means and deviations. The qualitative variables were analyzed by frequency and proportions. Results: most of the affected patients were males (80.7%), with a mean age of 37.5 years, the most affected bone was the tibia (68.3). Transit accident was the main mechanism of trauma (82%), and the most frequently involved vehicle was the motorcycle (65.8%). There was a low mortality of three patients. The main complications were chronic osteomyelitis and pulmonary thromboembolism (7.4% and 6.8%, respectively). Sixteen patients needed attention in the Intensive Care Unit (9.9%), remaining there for an average of 6.9 days. Conclusions: high-energy orthopedic trauma is not an independent mortality factor. However, it affects public health by generating medical leaves of active workers, which causes work absences and diminishes productivity. |
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2018 |
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2018 |
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2019-03-01T19:49:17Z |
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2019-03-01T19:49:17Z |
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Artículo de investigación |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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Guerra-J J, Posada-Upegui JC, Giraldo-Salazar OL. Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo. Rev. Fac. Nac. Salud Pública. 2018;36(2):28-36. DOI:10.17533/udea.rfnsp.v36n2a05 |
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0120-386X |
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http://hdl.handle.net/10495/10663 |
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10.17533/udea.rfnsp.v36n2a05 |
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2256-3334 |
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Guerra-J J, Posada-Upegui JC, Giraldo-Salazar OL. Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo. Rev. Fac. Nac. Salud Pública. 2018;36(2):28-36. DOI:10.17533/udea.rfnsp.v36n2a05 0120-386X 10.17533/udea.rfnsp.v36n2a05 2256-3334 |
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Revista Facultad Nacional de Salud Pública |
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Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO) |
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Universidad de Antioquia, Facultad Nacional de Salud Pública |
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Medellín, Colombia |
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Universidad de Antioquia |
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Guerra Jiménez, JadithPosada Upegui, Juan CamiloGiraldo Salazar, Olga Lucía2019-03-01T19:49:17Z2019-03-01T19:49:17Z2018Guerra-J J, Posada-Upegui JC, Giraldo-Salazar OL. Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo. Rev. Fac. Nac. Salud Pública. 2018;36(2):28-36. DOI:10.17533/udea.rfnsp.v36n2a050120-386Xhttp://hdl.handle.net/10495/1066310.17533/udea.rfnsp.v36n2a052256-3334ABSTRACT: To describe the mortality and the main secondary complications in patients with high-energy orthopedic trauma treated at the emergency service of the Hospital Universitario San Vicente Fundación. Methodology: descriptive retrospective study carried out in an 18-month period with patients following the inclusion criteria and after a search conducted in the hospital’s database. 10,259 patient medical records were reviewed, out of which 161 followed the inclusion criteria. The quantitative variables were analyzed by standard means and deviations. The qualitative variables were analyzed by frequency and proportions. Results: most of the affected patients were males (80.7%), with a mean age of 37.5 years, the most affected bone was the tibia (68.3). Transit accident was the main mechanism of trauma (82%), and the most frequently involved vehicle was the motorcycle (65.8%). There was a low mortality of three patients. The main complications were chronic osteomyelitis and pulmonary thromboembolism (7.4% and 6.8%, respectively). Sixteen patients needed attention in the Intensive Care Unit (9.9%), remaining there for an average of 6.9 days. Conclusions: high-energy orthopedic trauma is not an independent mortality factor. However, it affects public health by generating medical leaves of active workers, which causes work absences and diminishes productivity.RESUMEN: Describir la mortalidad y las principales complicaciones secundarias en los pacientes con trauma ortopédico de alta energía, admitidos en el servicio de urgencias del Hospital Universitario San Vicente Fundación. Metodología: Se llevó a cabo un estudio descriptivo retrospectivo de los pacientes, en un período de 18 meses, que cumplieron los criterios de inclusión luego de realizar la búsqueda en la base de datos del Hospital. Se revisaron 10 259 historias clínicas, de las cuales 161 cumplían los criterios de inclusión. Las variables cuantitativas se analizaron mediante medias y desviaciones estándar, y las cualitativas, a través de frecuencias y proporciones. Resultados: La mayoría de pacientes afectados correspondía al sexo masculino (80,7 %), con edad promedio de 37,5 años; el principal hueso afectado fue la tibia (68,3 %). El principal mecanismo de trauma fue accidente de tránsito (82 %), siendo la motocicleta el vehículo involucrado con mayor frecuencia (65,8 %). La mortalidad fue baja, fallecieron tres pacientes. Las principales complicaciones fueron osteomielitis crónica y tromboembolismo pulmonar (7,4 y 6,8 %, respectivamente). Dieciséis pacientes requirieron ingreso a la unidad de cuidados intensivos (9,9 %), con un promedio de estancia de 6,9 días. Conclusiones: El trauma ortopédico de alta energía no es un factor de mortalidad independiente; sin embargo, impacta sobre la salud pública, debido a la discapacidad que esta lesión genera en individuos laboralmente activos, lo que lleva a ausentismo laboral y pérdida de la productividad.8application/pdfspaUniversidad de Antioquia, Facultad Nacional de Salud PúblicaMedellín, Colombiahttps://creativecommons.org/licenses/by-nc-sa/2.5/co/https://creativecommons.org/licenses/by-nc-sa/4.0/Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Accidentes de tránsitoIndicadores de MorbimortalidadFracturas óseasHeridas y LesionesSalud públicaAccidents, TrafficFractures, BoneIndicators of Morbidity and MortalityPublic HealthWounds and InjuriesMorbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivoMorbimortality of High-energy Orthopedic Trauma: a Descriptive Retrospective StudyArtículo de investigaciónhttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRev. 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