<?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>S0034-74932019000400003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de índices pronósticos en el trauma abdominal cerrado]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of Prognostic Indexes in Closed Abdominal Trauma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casado Méndez]]></surname>
<given-names><![CDATA[Pedro Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[Daimí Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos Fonseca]]></surname>
<given-names><![CDATA[Rafael Salvador]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallardo Arzuaga]]></surname>
<given-names><![CDATA[Ruber Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Súarez]]></surname>
<given-names><![CDATA[Manuel de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General &#8220;Mariano Pérez Balí&#8221;  ]]></institution>
<addr-line><![CDATA[Granma ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Provincial Universitario &#8220;Carlos Manuel de Céspedes&#8221;  ]]></institution>
<addr-line><![CDATA[Granma ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Provincial Universitario &#8220;Celia Sánchez Manduley&#8221;  ]]></institution>
<addr-line><![CDATA[Granma ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>58</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932019000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932019000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932019000400003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El trauma accidental o intencional es la causa número uno de muerte en personas jóvenes.  Objetivo: Evaluar la capacidad pronóstica en la predicción de la muerte de índices pronóstico en pacientes con trauma abdominal cerrado.  Métodos: Se desarrolló un estudio observacional y descriptivo con fases analíticas en un universo de 72 pacientes con trauma abdominal cerrado en el Hospital Universitario &#8220;Celia Sánchez Manduley&#8221;, Manzanillo, Granma, entre enero de 2016 a diciembre 2017. Los datos fueron procesados en el sistema Excel, construyéndose la curva de características operativas del receptor para el análisis de la efectividad de los índices pronósticos.  Resultados: Predominaron los pacientes masculinos (70,83 %) con una edad media de 43,31 años. El bazo fue el órgano más lesionado (5,56 %) y el shock séptico la principal causa directa de la muerte (4,17 %). El índice de severidad de lesiones, la escala revisada de trauma, la escala CRAMS y la metodología TRISS resultaron en una sensibilidad, de predicción de la muerte, de 91,02 %, 87,5 %, 83,5 % y 95,8 % respectivamente a un punto de corte de 25 puntos, 6 puntos, 7 puntos y hasta 19 % respectivamente.  Conclusiones: La metodología TRISS resultó ser el índice pronóstico de mayor sensibilidad y en consecuencia el más recomendado para la práctica clínica habitual.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Accidental or intentional trauma is the leading cause of death among young people.  Objective:  To evaluate the mortality prediction capacity of prognostic indexes in patients with closed abdominal trauma.  Methods:  An observational and descriptive study with analytical phases was developed in a population of 72 patients with closed abdominal trauma, at Celia Sánchez Manduley University Hospital in Manzanillo, Granma Province, between January 2016 and December 2017. The data were processed in the Excel system, and the receiver operating characteristics curve was constructed to analyze the effectiveness of the prognostic indexes.  Results:  There was a predominance of male patients (70.83%) with a mean age of 43.31 years old. The spleen was the most injured organ (5.56%). The septic shock was the main direct cause of death (4.17%). The injury severity index, the revised trauma scale, the CRAMS scale, and the TRISS methodology produced a mortality prediction sensitivity of 91.02%, 87.5%, 83.5%, and 95.8 %, respectively, at a cut point of 25, 6, and 7 points, and up to 19%, respectively.  Conclusions:  The TRISS methodology turned out to be the prognostic index with the highest sensitivity and, consequently, the most recommended for routine clinical practice.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[traumatismo]]></kwd>
<kwd lng="es"><![CDATA[trauma abdominal]]></kwd>
<kwd lng="es"><![CDATA[trauma cerrado]]></kwd>
<kwd lng="es"><![CDATA[índice pronósticos]]></kwd>
<kwd lng="en"><![CDATA[trauma]]></kwd>
<kwd lng="en"><![CDATA[abdominal trauma]]></kwd>
<kwd lng="en"><![CDATA[closed trauma]]></kwd>
<kwd lng="en"><![CDATA[prognostic indexes]]></kwd>
</kwd-group>
</article-meta>
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