Morbimortalidad del trauma pediátrico abdominal estudio enfocado en pacientes pediátricos con trauma abdominal en el Hospital Dr. Francisco Icaza Bustamante en el período enero a diciembre 2018
Fecha
2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El trauma pediátrico abdominal significa un gran conflicto para la salud pública del país, debido al considerable índice de mortalidad a consecuencia del gran número de complicaciones, y numerosas dificultades para el diagnóstico oportuno. A fin de determinar la morbilidad y mortalidad del trauma pediátrico abdominal en pacientes atendidos en el Hospital del niño Dr. Francisco Icaza Bustamante en el año 2018, se plantea el siguiente trabajo de investigación.
Se estudiaron 122 pacientes en los cuales se observó predominio del sexo masculino, de los cuales la mayoría de los pacientes fueron de edades superiores a 8 años. Siendo alto el índice de pacientes intervenidos por trauma abdominal que fallecieron, la complicación más frecuente fue el shock hipovolémico, mientras que la complicación más letal fue la sepsis peritoneal. El tipo de trauma más frecuente fue el trauma abdominal cerrado con un gran índice de mortalidad.
A pesar de no ser posible suprimir totalmente los factores agravantes, debemos considerar la importancia de prevenirlos para disminuir la mortalidad del trauma abdominal pediátrico
Pediatric abdominal trauma represents a major conflict for the public health of the country, due to the considerable mortality rate and the large number of complications, and numerous difficulties for timely diagnosis. This study was made in order to determine the morbidity and mortality of pediatric abdominal trauma in patients treated in the Dr. Francisco Icaza Bustamante child's hospital in 2018. This is a cross-sectional, descriptive, non-experimental and retrospective research work. A database of patients under the ICD diagnostic code was used as a source of information -10 S39, corresponding to multiple abdominal trauma. 122 patients were studied in which the majority were males and most of the patients were older than 8 years. The percentage of patients that went through surgery due to abdominal trauma and died was high, with the most frequent complication being hypovolemic shock; while the most lethal complication was peritoneal sepsis. The most frequent type of trauma was closed abdominal trauma, in which the majority of patients died. Although it is not possible to completely eliminate the aggravating factors, we must consider the importance of preventing them to reduce the mortality of pediatric abdominal trauma.
Pediatric abdominal trauma represents a major conflict for the public health of the country, due to the considerable mortality rate and the large number of complications, and numerous difficulties for timely diagnosis. This study was made in order to determine the morbidity and mortality of pediatric abdominal trauma in patients treated in the Dr. Francisco Icaza Bustamante child's hospital in 2018. This is a cross-sectional, descriptive, non-experimental and retrospective research work. A database of patients under the ICD diagnostic code was used as a source of information -10 S39, corresponding to multiple abdominal trauma. 122 patients were studied in which the majority were males and most of the patients were older than 8 years. The percentage of patients that went through surgery due to abdominal trauma and died was high, with the most frequent complication being hypovolemic shock; while the most lethal complication was peritoneal sepsis. The most frequent type of trauma was closed abdominal trauma, in which the majority of patients died. Although it is not possible to completely eliminate the aggravating factors, we must consider the importance of preventing them to reduce the mortality of pediatric abdominal trauma.
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Pediatría, Trauma abdominal, Morbilidad, Mortalidad infantil, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador, Indicadores de morbimortalidad