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首页> 外文期刊>Revista do Colégio Brasileiro de Cirurgies >Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma
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Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma

机译：高空坠落受害者识别伤害与闭合性创伤其他机制之间的比较分析

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OBJECTIVE:to identify predictors of death in blunt trauma patients sustaining pelvic fractures and, posteriorly, compare them to a previously reported series from the same center.METHOD: Retrospective analysis of trauma registry data, including blunt trauma patients older than 14 y.o. sustaining pelvic fractures admitted from 2008 to 2010. Patients were assigned into group 1 (dead) or 2 (survivors). We used Student's t, qui square and Fisher's tests for statistical analysis, considering p0.05 as significant. Posteriorly, we compared predictors of death between both periods.RESULTS: Seventy-nine cases were included. Mean RTS, ISS and TRISS were, respectively, 6.44 + 2.22, 28.0 + 15.2 e 0.74 + 0.33. Nineteen patients died (24,0%). Main cause of death was hemorrhage (42,1%). Group 1 was characterized by (p0.05) lower systolic blood pressure and Glasgow coma scale means on admission, higher heart rate, head AIS, extremity AIS and ISS means, as well as, higher frequency of severe head injuries and complex pelvic fractures. Comparing both periods, we notice that the anatomic and physiologic severity of injury increased (RTS and ISS means). Furthermore, there was a decrease in the impact of associated thoracic and abdominal injuries on the prognosis and an association of lethality with the presence of complex pelvic fractures.CONCLUSION: There were significant changes in the predictors of death between these two periods. The impact of thoracic and abdominal associated injures decreased while the importance of severe retroperitoneal hemorrhage increased. There was also an increase in trauma severity, which accounted for high lethality.
机译：目的：确定患有骨盆骨折的钝性外伤患者的死亡预测因素，然后将其与同一中心以前报道的系列进行比较。方法：回顾性分析创伤登记数据，包括年龄在14岁以上的钝性外伤患者。患者于2008年至2010年期间接受持续性盆腔骨折治疗。患者被分为1组（死亡）或2组（幸存者）。我们使用学生的t，基方和费舍尔检验进行统计分析，认为p <0.05为显着性。之后，我们比较了两个时期的死亡预测因素。结果：纳入了79例病例。平均RTS，ISS和TRISS分别为6.44 + 2.22、28.0 + 15.2 e 0.74 + 0.33。 19名患者死亡（24.0％）。死亡的主要原因是出血（42.1％）。第一组的特征是（p <0.05）收缩压降低和入院时格拉斯哥昏迷量表方法，较高的心率，头部AIS，四肢AIS和ISS方法以及严重的颅脑损伤和复杂的骨盆骨折的发生率较高。比较两个时期，我们注意到损伤的解剖学和生理学严重性增加（RTS和ISS均值）。此外，相关的胸腹损伤对预后的影响减少，致死率与骨盆复杂骨折的发生相关。结论：在这两个时期之间，死亡的预测因素发生了显着变化。胸腹相关损伤的影响减少，而严重腹膜后出血的重要性增加。创伤严重程度也有所增加，这造成了高致死率。

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