<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cuban de Med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232023000200004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Variables predictoras de mortalidad precoz en pacientes hospitalizados con trauma hemorrágico]]></article-title>
<article-title xml:lang="en"><![CDATA[Predictors of Early Mortality in Hospitalized Patients with Hemorrhagic Trauma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Rodríguez]]></surname>
<given-names><![CDATA[Manuel Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Corvea]]></surname>
<given-names><![CDATA[Laureano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Condes Fernández]]></surname>
<given-names><![CDATA[Berto Delis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Concepción]]></surname>
<given-names><![CDATA[Juana del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Concepción López]]></surname>
<given-names><![CDATA[Miguel Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Rodríguez]]></surname>
<given-names><![CDATA[Aramís Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Docente &#8220;Camilo Cienfuegos&#8221;  ]]></institution>
<addr-line><![CDATA[ Sancti Spíritus]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>62</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232023000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232023000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232023000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La enfermedad traumática grave es la sexta causa de muerte a nivel mundial, un elevado porcentaje de fallecidos se atribuye a hemorragias no controladas. En Cuba se carece de estudios sobre variables predictoras de mortalidad precoz en pacientes hospitalizados con trauma hemorrágico.  Objetivo:  Identificar variables predictoras de mortalidad precoz en pacientes hospitalizados con trauma hemorrágico.  Métodos:  Se realizó un estudio observacional, analítico, transversal, que incluyó 207 pacientes con trauma hemorrágico, en el Hospital General Provincial &#8220;Camilo Cienfuegos&#8221; de Sancti Spíritus, En el período comprendido entre los años 2012 y 2017. Las variables se agruparon en sociodemográficas, enfermedades crónicas, mecanismo lesional, tipo de trauma, localización topográfica, complicaciones precoces, tratamiento médico-quirúrgico y mortalidad precoz. Se elaboró un modelo de regresión logística binaria mediante el método hacia delante de Wald.  Resultados:  El porcentaje global del modelo de regresión logística mostró la relación entre lo pronosticado respecto a lo observado en un 94,6 %. Los predictores explicaron el 83,8 % de la variabilidad de la variable dependiente. Se determinaron cinco variables predictoras de mortalidad precoz, hipertensión arterial, enfermedad pulmonar obstructiva crónica, hepatopatía crónica, coagulopatía aguda e hipotermia.  Conclusiones:  Se concluye que las enfermedades crónicas como la hipertensión arterial, la enfermedad pulmonar obstructiva crónica y las hepatopatías crónicas, asociadas a la coagulopatía aguda e hipotermia fueron identificadas como variables predictoras de muerte precoz en pacientes hospitalizados por trauma hemorrágico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Severe traumatic disease is the sixth leading cause of death worldwide, high percentage of deaths is ascribed to uncontrolled bleeding. There are no studies in Cuba on predictive variables of early mortality in hospitalized patients with hemorrhagic trauma.  Objective:  To identify predictive variables of early mortality in hospitalized patients with hemorrhagic trauma.  Methods:  An observational, analytical, cross-sectional study was carried out, which included 207 patients with hemorrhagic trauma, at Camilo Cienfuegos Provincial General Hospital in Sancti Spíritus, from 2012 to 2017. The variables were grouped into sociodemographic, diseases chronic, lesion mechanism, type of trauma, topographic location, early complications, medical-surgical treatment and early mortality. A binary logistic regression model was developed using the Wald forward method.  Results:  The global percentage of the logistic regression model showed the relationship between what was predicted with respect to what was observed in 94.6%. The predictors explained 83.8% of the variability of the dependent variable. Five predictors of early mortality, arterial hypertension, chronic obstructive pulmonary disease, chronic liver disease, acute coagulopathy, and hypothermia were determined.  Conclusions:  It is concluded that chronic diseases such as arterial hypertension, chronic obstructive pulmonary disease and chronic liver disease, associated with acute coagulopathy and hypothermia, were identified as predictors of early death in patients hospitalized for hemorrhagic trauma.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trauma grave]]></kwd>
<kwd lng="es"><![CDATA[trauma hemorrágico]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[severe trauma]]></kwd>
<kwd lng="en"><![CDATA[hemorrhagic trauma]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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