Categorización del trauma según escalas de lesiones de causa externa de los pacientes ingresados en el Hospital Vicente Corral Moscoso. Cuenca. 2014

Abstract

BACKGROUND: People each time more seriously injured have given way to a series of predictor parameters and which have become useful in order to catalogue patients as serious, to re-direct treatment, and the definite care of patients. GENERAL OBJECTIVE: Categorize traumatized patients interned in the surgery area of VCMH in Cuenca, according to trauma levels RTS, ISS, NISS, TIA, depending on the severity of external cause injuries. METHODOLOGY: Descriptive Prospective Study, applied to all the patients interned in the trauma area on Vicente Corral Moscoso Hospital, ≥ age 16, with a trauma injury record. RESULTS: The categorization according to RTS shows that the 78.4% of patients had to be commuted to a hospital and the 2.1% to trauma room; according to the ISS, the 51.5% of patients had a minor trauma and the 16.4% were considered to be in the category of imminent danger of death and unknown survival rate, which opposite to the NISS which shows that the 44.1% of patients had a minor trauma and the 19.8% in the category of imminent danger of death and unknown survival. The ATI showed difficulties in the registrations due to a lack of records of egress diagnostic and injures descriptions of the 45 patients with abdominal trauma which after detecting the scale, could be partially applied to only 7. CONCLUSSIONS:Trauma scales categorize patients positively, detecting patients with threatening injuries and predicting mortality rate