Factors that influencing the prognosis of penetrating abdominal trauma by stab, Viedma Hospital, 2010-2011 (Factores que influyen en el pronóstico del trauma abdominal penetrante por arma blanca, Hospital Clínico Viedma, 2010-2011)

Background: The care of trauma patients result of accidents andattacks by stab is large and complex. The assessment of prognosticfactors is important and necessary in order to prevent this events .Objective: To determine the factors that infl uence the prognosisof penetrating abdominal trauma by stab in the Viedma Hospital2010-2011.Methods: A descriptive, cross-sectional and retrospective study.The unit of analysis studied was: Patients admitted to emergencydepartment of Viedma Hospital with the diagnosis of abdominalpenetrating trauma by stab.Results: The incidence rate of penetrating abdominal trauma stabrepresented 10% of total admissions to the emergency. The mostaffected gender was male (91%), the most affected age was between15-30 years. We observed that 25% have infl uence on theoccurrence of complications, 33,33% have infl uence on the lengthof stay , and 61,11% on admission to intensive care.Conclusions: Factors that Infl uence for the development of complicationsare: the time elapsed until patient care, the INR, hemoglobin,hematocrit and white blood cell differential (segmented) andinitial laboratory results, signs of peritoneal irritation, the numberof organs involved in the trauma, surgical time and the amount ofpacked red blood cells needed to stabilize the patient. It also influences over the need of intensive therapy: heart rate, respiratoryrate, level of consciousness, abnormal blood clotting, red blood cellcount, number and degree of affected organs, number of surgeriesand surgery time, recovery time, transfusion of packed red bloodcells and the presence of sepsis. -RESUMEN: Introducción: La atención de pacientes por trauma producto deaccidentes y agresiones por arma blanca son de amplio y complejomanejo, siendo la evaluación de los factores que infl uyen en su pronósticoimportantes y necesarios para poder prevenirlos.Objetivo: Determinar los factores que infl uyen en el pronóstico deltrauma abdominal penetrante por arma blanca en el Hospital ClínicoViedma 2010 a 2011.Material y Métodos: Estudio descriptivo, transversal, retrospectivo.La unidad de análisis estudiada fue: Pacientes que se internaronpor el servicio de emergencias del Hospital Clínico Viedma con eldiagnóstico de trauma abdominal penetrante por arma blanca.Resultados: La tasa de incidencia del trauma abdominal penetrantepor arma blanca representó un 10% del total de ingresos al serviciode emergencias. El sexo más afectado fue el masculino (91%), laedad más afectada la encontrada entre los 15-30 a os, se observóque el 25% tienen infl uencia en la aparición de complicaciones,