Resumen

RODRIGUEZ NAVARRO, Darismel et al. Usefulness of TRISS index as a predictor of alterations in CD3⁺ lymphocytes in injured patients. Rev Cub Med Mil [online]. 2012, vol.41, n.1, pp. 76-86. ISSN 0138-6557.

Introduction: the current trends and projections regarding traumata demonstrate that they become a public health world crisis. Objective: to assess the usefulness of the "trauma injury severity score (TRISS) predictive index as predictor index of alterations in the subpopulations of CD3⁺ lymphocytes in injured patients. Methods: an analytic and prospective study was conducted in 55 patients with trauma admitted in the "Luís Díaz Soto" Central Military Hospital between 2005 and 2008. Immunologic tests were carried out. The immunologic variables, TRISS-survival probability, complications and the status at discharge were the more important ones. Different statistic methods were used. Results: there was predominance of infectious complications. In the deceased ones, the immunity depletion was the more significant. Insofar as the survival probability decreased, according to the TRISS-predictive index, the CD3⁺ lymphocyte populations were affected. The immunological alterations were more intensive in the deceased patients and in those with a poor prognosis. The major immune affections appeared during the first week. Conclusions: the cellular immunity alterations of the traumatized patients have a direct relation to the severity of injuries affecting the survival probability of patients, according to the TRISS predictive index, confirming its predictor value in the integral assessment of this type of injured patient.

Palabras clave : multiple trauma; wounds and injuries [complications]; cellular and humoral immunity.

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