Abstract

ALFONSO ALFONSO, Lázaro E.; NODA SARDINAS, Constantino L.; REYES MARTINEZ, Margarita L.  and  SOROA ESPINOSA, Yohanka C.. Kinetic study of proteins in the traumatized patient and its correlation with predictive indeces. Rev Cub Med Mil [online]. 1998, vol.27, n.1, pp. 5-12. ISSN 1561-3046.

A prospective study was perfomed on 52 traumatized patients, and the correlation between tha values of the predictive index used and the results obtained with the protein fractions studied at admission and on the 3^rd and 7^th days was established. The following statistical tests were applied: median, standard deviation, minimum, maximum, and the correlation-regresion test, and hypothesis with a confidence interval of 95 % (alpha = 0.05). 38.5 % of the injured patients were within the rank of 21 to 30 years of age and males were found to be predominant (88.5 %). Traffic accidents accounted for the most frequent cause of lesions (38.5 %); orthopaedic lesions were found to have the greatest incidence (26.4 %), and complications were found in 38.4 % of the sample. Total proteins, albumins, and gamma globulins were found to be significantly reduced 72 hours after the lesions; this reduction was more intense in subjects who died. A correlation between the variables studied and the predictive indices was evidenced.

Keywords : WOUNDS AND INJURIES [metabolism]; PROTEINS [metabolism]; GLOBULINS [metabolism]; INJURY SEVERITY SCORE; PROSPECTIVE STUDIES.