<?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>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932019000300002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Valor pronóstico de los índices de severidad en las lesiones traumáticas de colon y recto]]></article-title>
<article-title xml:lang="en"><![CDATA[Prognostic value of severity indices in traumatic colon and rectal injuries]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinilla González]]></surname>
<given-names><![CDATA[Rafael Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez García]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Martínez]]></surname>
<given-names><![CDATA[Nikkinpaler Amos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Provincial &#8220;Joaquín Albarrán&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Nefrología &#8220;Dr. Abelardo Buch López&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>58</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932019000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932019000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932019000300002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los índices de severidad en trauma son una serie de escalas que permiten describir la gravedad de un individuo traumatizado y se asocian con su pronóstico y probabilidad de sobrevida.  Objetivo:  Determinar el valor pronóstico de los índices de severidad anatómicos en la evolución de pacientes con lesiones traumáticas de colon y recto.  Métodos:  Se realizó un estudio observacional descriptivo y de corte transversal. Se incluyeron los pacientes con lesiones traumáticas de colon o recto intervenidos quirúrgicamente en cuatro hospitales de La Habana en el periodo 2008-2015. Los datos fueron recolectados de la historia clínica. Se utilizó análisis de distribución de frecuencias y las curvas de operación característica del receptor (curvas ROC).  Resultados:  La edad promedio de los pacientes 37,4 años (desviación estándar 13,6 años). Predominó el sexo masculino (76, 7 %). De los 6 scores estudiados, solamente CIS Flint y COIS resultaron ser útiles para predecir sepsis de la herida quirúrgica. En la predicción de defunción, el área mayor bajo la curva correspondió a COIS (0,92), posteriormente le siguió NISS (0,86) y luego CIS Flint (0,81). Los puntos de corte óptimos calculados fueron: ( 3 para COIS, ( 24 para NISS y ( 2 para CIS Flint.  Conclusiones:  Se demuestra el valor de los índices COIS y Flint, para pronosticar la ocurrencia de complicaciones en los pacientes con lesiones traumáticas de colon y recto, y la utilidad de los diferentes índices, en el pronóstico de defunción.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Trauma severity indices are a series of scales that describe the severity of a traumatized individual and are associated with their prognosis and probability of survival.  Objective:  To determine the prognostic value of anatomical severity indices in the evolution of patients with traumatic lesions of the colon and rectum.  Methods:  A descriptive observational and cross-sectional study was carried out. Patients with traumatic lesions of the colon or rectum who underwent surgery in four Havana hospitals in the period 2008-2015 were included. The data was collected from the medical history. Frequency distribution analysis and receiver characteristic operation curves (ROC curves) were used.  Results: The average age of the patients 37.4 years (standard deviation 13.6 years). Male sex predominated (76.7%). Of the 6 scores studied, only CIS Flint and COIS were found to be useful in predicting sepsis of the surgical wound. In the prediction of death, the largest area under the curve corresponded to COIS (0.92), followed by NISS (0.86) and then CIS Flint (0.81). The calculated optimal cut-off points were: ( 3 for COIS, ( 24 for NISS and ( 2 for CIS Flint.  Conclusions:  The value of the COIS and Flint indices is demonstrated to predict the occurrence of complications in patients with traumatic lesions of the colon and rectum, and the usefulness of the different indices in the prognosis of death.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[escalas]]></kwd>
<kwd lng="es"><![CDATA[evaluación]]></kwd>
<kwd lng="es"><![CDATA[índices de severidad]]></kwd>
<kwd lng="es"><![CDATA[curvas ROC]]></kwd>
<kwd lng="es"><![CDATA[trauma de colon]]></kwd>
<kwd lng="es"><![CDATA[sutura primaria]]></kwd>
<kwd lng="es"><![CDATA[colostomía]]></kwd>
<kwd lng="en"><![CDATA[scales]]></kwd>
<kwd lng="en"><![CDATA[evaluation]]></kwd>
<kwd lng="en"><![CDATA[severity indices]]></kwd>
<kwd lng="en"><![CDATA[ROC curves]]></kwd>
<kwd lng="en"><![CDATA[colon trauma]]></kwd>
<kwd lng="en"><![CDATA[primary suture]]></kwd>
<kwd lng="en"><![CDATA[colostomy]]></kwd>
</kwd-group>
</article-meta>
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