Frecuencia de mortalidad y factores asociados en pacientes con trauma severo que se aplicó hipotensión permisiva en el Hospital Vicente Corral Moscoso desde el 1 de noviembre de 2012 al 31 de octubre de 2015

Abstract

INTRODUCTION Severe trauma has a 10% death prevalence worldwide. In our country, it constitutes a real public health problem, generally affecting healthy people in their productive age, and rating first as a cause of death and disability. GENERAL OBJECTIVE: To determine the mortality frequency and associated factors in patients with severe trauma who were applied permissive hypotension in the Trauma and Emergency service of the “Vicente Corral Moscoso” Hospital. MATERIAL AND METHOD: This research was 107 medical histories. Descriptive statistics were employed, including central tendency measures as well as dispersion, frequency, and percentage measures. Bivariate statistics were also used, such as the t-test and Chi-square, p value < 0,05, OR with IC at 95%, as well as the logistic regression multivariate analysis. RESULTS: It was determined that the largest number of injuries were men (90%) and the most frequent mechanism of injury was by short-pricking weapon (56%); the prevalence of death is 10.3% of all severe traumas. A mortality rate of 1 was established in 75 cases with severe trauma, with permissive hypotension (prevalence 1.3%); while with conventional therapy the mortality was 10 in 32 cases. CONCLUSIONS: A lower frequency of mortality was determined in cases with severe trauma, with permissive hypotension being applied in the Trauma and Emergency service, resulting in a lower prevalence of mortality of 1.3%.