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Revista Cubana de Medicina Militar
versão On-line ISSN 1561-3046
Resumo
VALDES RODRIGUEZ, Manuel Felipe et al. Characteristics of patients with traumatic hemorrhagic shock. Rev. cuban. med. mil. [online]. 2023, vol.52, n.1 Epub 01-Mar-2023. ISSN 1561-3046.
Introduction:
Traumatic hemorrhagic shock is one of the main causes of death in patients with severe trauma.
Objective:
To describe the characteristics of patients with traumatic hemorrhagic shock.
Methods:
Observational, descriptive, cross-sectional study, which included 207 patients with traumatic hemorrhagic shock. To describe the characteristics of the patients, sociodemographic, clinical, and surgical variables were considered. A frequency analysis was performed, with a significance level of p<0.05 and for the quantitative variables the mean and standard deviation were estimated.
Results:
There was a predominance of the male sex (85% of the patients), with a mean age of 43.7 ± 15.7 years. 42.5% (p= 0.000) of the patients were hypertensive. Traffic accidents (63.2%), blunt trauma (57.5%) and polytraumatized (42.5%) predominated. Metabolic acidosis was present in 66.7% (p= 0.000) of the patients. The mean time between admission and definitive treatment was 3.52 ± 1.19 hours. Surgical medical treatment for damage control was applied in 2.9% and 5.4% of the patients, respectively. Early death was 30%.
Conclusions:
There was a predominance of male patients, under 60 years of age, more, and early complications that had statistical significance and the time between admission and the start of definitive treatment of 3 hours. Damage control surgical medical treatment was not frequently applied and early death was high.
Palavras-chave : severe trauma; traumatic hemorrhagic shock; mortality.