Characteristics of patients with traumatic hemorrhagic shock

Authors

Keywords:

severe trauma, traumatic hemorrhagic shock, mortality.

Abstract

Introduction: Traumatic hemorrhagic shock is one of the main causes of death in patients with severe trauma.
Objective: To describe the characteristics of patients with traumatic hemorrhagic shock.
Methods: Observational, descriptive, cross-sectional study, which included 207 patients with traumatic hemorrhagic shock. To describe the characteristics of the patients, sociodemographic, clinical, and surgical variables were considered. A frequency analysis was performed, with a significance level of p<0.05 and for the quantitative variables the mean and standard deviation were estimated.
Results: There was a predominance of the male sex (85% of the patients), with a mean age of 43.7 ± 15.7 years. 42.5% (p= 0.000) of the patients were hypertensive. Traffic accidents (63.2%), blunt trauma (57.5%) and polytraumatized (42.5%) predominated. Metabolic acidosis was present in 66.7% (p= 0.000) of the patients. The mean time between admission and definitive treatment was 3.52 ± 1.19 hours. Surgical medical treatment for damage control was applied in 2.9% and 5.4% of the patients, respectively. Early death was 30%.
Conclusions: There was a predominance of male patients, under 60 years of age, more, and early complications that had statistical significance and the time between admission and the start of definitive treatment of 3 hours. Damage control surgical medical treatment was not frequently applied and early death was high.

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Author Biographies

Manuel Felipe Valdés Rodríguez, Hospital General Provincial " Camilo Cienfuegos" Sancti Spíritus

Cirujano General

Berto Delis Conde Fernández, Hospital General Provincial " Camilo Cienfuegos" Sancti Spíritus

Especialista en Medicina Interna

Juana del Pilar Rodríguez Concepción, Hospital General Provincial " Camilo Cienfuegos" Sancti Spíritus

Especialista en Medicina Interna

Julio Roberto Betancourt Cervantes, Hospital Militar de Ejército “Manuel Fajardo Rivero”, Santa Clara. Villa Clara. Cuba

Cirujano general

Eduardo Miguel Velázquez Chinea, Hospital General Provincial " Camilo Cienfuegos" Sancti Spíritus

Cirujano general

Aramis Manuel Valdés Rodríguez, Universidad de Ciencias Médicas de Sancti Spíritus, Sancti Spíritus. Cuba

Estudiante de medicina

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Published

2023-03-15

How to Cite

1.
Valdés Rodríguez MF, Conde Fernández BD, Rodríguez Concepción J del P, Betancourt Cervantes JR, Velázquez Chinea EM, Valdés Rodríguez AM. Characteristics of patients with traumatic hemorrhagic shock. Rev Cubana Med Milit [Internet]. 2023 Mar. 15 [cited 2025 Apr. 2];52(1):e02302475. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2475

Issue

Vol. 52 No. 1 (2023): January - March

Section

Research Article

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