Prognostic Factors in the Evaluation of Patients with Abdominal Trauma. Abel Santamaría Cuadrado General Teaching Hospital
Keywords:
Abdominal Trauma; Hemodynamic Stability; Damage Control.Abstract
Introduction: trauma is associated to incresed morbimortality, the abdomen is one of the regions most frequently affected during multiple trauma, hence the importance of identifying intra-abdominal injuries to reduce morbidity and mortality in these patients.
Objective: to identify the factors that influence the prognosis of patients with abdominal trauma at the Abel Santamaría Cuadrado General Teaching Hospital between 2021 and 2024. Methods: an observational, analytical, longitudinal, prospective study. The sample consisted of 274 patients. Statistical analysis was performed, and ethical principles were respected.
Results: abdominal trauma patients were predominantly male, young, and Caucasian. The most frequently studied type of trauma was blunt trauma. Most patients received prehospital care. Traumas without organ involvement predominated, with the spleen being the most commonly injured organ. Fewer injuries received ICU care, with those reported as critically injured predominating. 4,74 % of patients presented hemodynamic instability.
Conclusions: the study identified the main factors associated with mortality in abdominal trauma, despite the low incidence of trauma during the study period.
Downloads
References
1. Casado-Méndez PR, Ricardo-Martínez D, Santos-Fonseca RS, Gallardo-Arzuaga RL, Pérez-Suarez MJ. Evaluación de índices pronósticos en el trauma abdominal cerrado. Rev Cubana Cir [Internet]. 2019 [consultado 08/07/2021]; 58(4): 13. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932019000400003
2. Parra-Romero G, Contreras-Cantero G, Orozco-Guibaldo D, Domínguez-Estrada A, Mercado-Martín del Campo JJ, Bravo-Cuéllar L. Trauma abdominal: experiencia de 4961 casos en el occidente de México. Cir Cir [Internet]. 2019 [consultado 08/07/2021]; 87(2): 7. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=85553
3. Ministerio de Salud Pública. Dirección de Registros Médicos y Estadística de Salud. Anuario estadístico de Salud 2023. La Habana, Cuba[Internet]; 2024[consultado 08/09/2024]. Disponible en: https://instituciones.sld.cu/iccc/2024/10/03/anuario-estadistico-de-salud-cuba-2023/
4. Barrera-Vera P, Cedeño-Ravelo P. Manejo integral del trauma abdominal cerrado en el servicio de emergencias de acuerdo con la guía ATLS (apoyo vital avanzado en trauma) en el Hospital General Manta durante el periodo marzo 2020-marzo 2021. Rev. Dilemas contemporáneos: Educación, Política y Valores [Internet]. 2023 [consultado 08/09/2024]; 97(2): 24. Disponible en: https://dilemascontemporaneoseducacionpoliticayvalores.com/index.php/dilemas/article/view/3571/3522
5. -Nájera OR. Manejo de trauma cerrado de abdomen en pacientes hemodinámicamente estables. Rev Div Cien [Internet]. 2023 [consultado 07/05/2024]; 3(2): 151. Disponible en: https://revistadiversidad.com/index.php/revista/article/view/86
6. Treviños-Noa Y. Prevalencia y factores asociados al trauma abdominal en el Hospital Julio Cesar Demarini Caro periodo 2020-2022. [Tesis] Universidad Peruana Los Andes; 2024[consultado 08/09/2024]. Disponible en: https://repositorio.upla.edu.pe/handle/20.500.12848/7110
7. Rivero-León A, Núñez-Calatayud M, Hernández-Liven JA., Quesada-Vázquez A. Características clínico quirúrgicas de los pacientes con trauma cerrado de abdomen. Rev Cubana Cir [Internet]. 2022 [consultado 30/05/2022]; 61(1): 44. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932022000100006
8. Ayala R, Tilleria F, Estigarribia MF, Yanagida F. Sensibilidad del Ecofast para el diagnóstico de traumatismo abdominal en el Hospital Regional de Encarnación-Paraguay, periodo 2021-2022. Rev. UNIDA [Internet]. 2024 [consultado 07/05/2024]; 3(1): 9-12. Disponible en: https://revistacientifica.unida.edu.py/publicaciones/index.php/unidasld/article/view/201
9. Agrawal C, Jindal R, Mukherjee S. A Clinical Study of Blunt Trauma Abdomen with Respect to Management and Outcome in a Tertiary Care Hospital. Rev. International Journal of Contemporary Medical Research [Internet]. 2020 [consultado 04/06/2022]; 7(5): 43-51. Disponible en: https://www.ijcmr.com/uploads/7/7/4/6/77464738/ijcmr_3083_v2.pdf
10. Engbang JP, Chasim CB, Fouda B, Motah M, Moukoury TJK, Ngowe MN. Epidemiology, diagnostic and management of abdominal trauma in two hospitals in the city of Douala, Cameroon. Rev. International Surgery Journal [Internet]. 2021 [consultado 11/04/2023]; 8(6): 1686-1693. Disponible en: https://doi.org/10.18203/2349-2902.isj20212266
11. Mejia D. Hemodynamically unstable pelvic fracture: A damage control surgical algorithm that fits your reality. Rev. Colomb Med [Internet]. 2020 [consultado 22/03/2022]; 91(4): 28. Disponible en: https://dx.doi.org/10.25100/cm.v51i4.4510
12. Ramírez Reyes T, Reyes González M. Trauma cerrado de abdomen: manejo quirúrgico o conservador en el Hospital Docente Universitario Dr. Darío Contreras en el periodo enero 2015-diciembre 2019. [Tesis] 2021[consultado 08/09/2024]. Disponible en: https://repositorio.unphu.edu.do/handle/123456789/3625
13. Cantú-Alejo DR, Reyna-Sepúlveda F, García-Hernández S, Sinsel-Ayala J, Hernández-Guedea M, Pérez Rodríguez E, et al. Presentación, manejo y evolución de pacientes con herida por proyectil de arma de fuego en el abdomen. Una década de violencia en México. Rev. Cirugía y cirujanos [Internet]. 2021 [consultado 05/05/2023]; 89(1): 39-45. Disponible en: https://doi.org/10.24875/ciru.19001710
14. Stable-Jurquín Y, Encarnación-Verano D, Sosa-Martín J. Trauma abdominal en pacientes del Hospital Universitario General Calixto García. Rev. Cubana de Cirugía [Internet]. 2023 [consultado 18/11/2023]; 62(2): 1488. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932023000200005&Ing=es&nrm=iso
15. Rivera-Mena, DJ. Características, evaluación y tratamiento del traumatismo abdomino-pélvico en América Latina. [Tesis]; 2023[consultado 08/09/2024]. Disponible en: https://dspace.ucacue.edu.ec/server/api/core/bitstreams/e441feff-1024-4b61-a4b3-73f44a917648/content
16. Marietta M, Burns B. Penetrating Abdominal Trauma. [Updated 2025 Feb 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing[Internet]; 2025 Jan-. Available from: https://www-ncbi-nlm-nih-gov.translate.goog/books/NBK459123/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=es&_x_tr_pto=tc
17. Ledrick D. Is there a need for abdominal CT scan in trauma patients with a low risk mechanism of injury and normal vital sings? [Tesis]; 2020. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33376642/
18. Bolívar-Rodríguez MA, Niebla-Moreno JM, Respardo-Ramírez CA, Pámanes-Lozano A, Cázarez-Aguilar MA, Peraza-Garay FJ. Concordancia entre los grados de lesión AAST tomográficos y quirúrgicos en hígado, bazo y riñón por trauma cerrado de abdomen. Rev. Cirugía y cirujanos [Internet]. 2022 [consultado 14/10/2023]; 90(3): 385-391. Disponible en: https://doi.org/10.24875/ciru.21000415
19. Giannoudis VP, Rodham P, Giannoudis PV, Kanakaris NK. Pacientes con lesiones graves: estrategias modernas de manejo. EFORT Open Rev[Internet]. 9 de mayo de 2023[consultado 08/09/2024]; 8 (5):382-396. Disponible en: https://pmc-ncbi-nlm-nih-gov.translate.goog/articles/PMC10233811/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=es&_x_tr_pto=tc
20. Abdulkhaleq Mamalchi S, Matar M, Bass GA. Estrategia perioperatoria en la reanimación de pacientes quirúrgicos con lesiones inestables: una introducción. Postgrad Med J[Internet]. 23 de enero de 2025[consultado 08/09/2024]; 101 (1192):93-99. Disponible en: https://pubmed-ncbi-nlm-nih-gov.translate.goog/39400544/
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Amanda de la Caridad Arencibia Piloto, Ángel Lorenzo González-González, Alina Breijo-Puentes, Arainé Santalla Corrales, Yamilka Miranda Pérez, Juan Andrés Prieto Hernández

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
