Índice de trauma abdominal PATI modificado como factor predictivo de complicaciones postoperatorias en pacientes con trauma abdominal ingresados en el servicio de cirugía del Hospital Vicente Corral Moscoso, año 2019

Abstract

Introduction: The PATI Index (Penetrating Abdominal Trauma Index) establishes the classification of abdominal organ injury severity as a standard. PATI ́s usefulness lies in defining intraoperative behaviors and predicting complications, also as a common language that facilitates the investigation of morbidity and mortality associated to trauma. Objective: To determine the concordance index between the standard PATI and modified PATI scales of postoperative complications in patients with abdominal trauma admitted to the service of at Vicente Corral Moscoso Hospital in 2019. Methods and materials: Descriptive study of agreement was carried out using the kappa index between the two scales PATI standard and PATI MODIFIED, it was worked with the universe of 52 patients. Sociodemographic and clinical variables were analyzed and morbidity and mortality were determined as a result variable. Results: 52 patients with abdominal trauma, 86% men, the mean age 34.8 years. 67% were rural, 33.5% needed more than 7 days of hospitalization. 62% of traumas were closed and 38% penetrating, of this late, 17 by knife and 3 by firearm. The causes: 42.3% physical assaults and 21.2% traffic accidents. The PATI ≥ 25 points 7 (13.5%) and modified PATI mean 14.6 SD ± 10.9 with a result ± 25 points 13 (25%). 16% were complicated, 5.75% died. The kappa index was 0.51, giving a moderate degree of agreement between scales. Conclusions: The modified PATI scale has moderate concordance with the standard PATI scale for predicting complications and mortality in patients with abdominal trauma.