Triada mortal en pacientes politraumatizados, relación con mortalidad y severidad

Background: Patients who have suffered multiple traumatic injuries, have a serious risk for death. Hypothermia, acidosis and coagulopathy are three complications in these patients, whose presence is known as lethal triad and indicates bad prognosis. Aim: To determine if the lethal triad in multiple...

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Autores principales:	González Balverde,María, Ramírez Lizardo,Ernesto J, Cardona Muñoz,Ernesto G, Totsuka Sutto,Sylvia E, García Benavides,Leonel
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2013
Materias:	Acidosis Coagulation protein disorders Hypothermia; Mortality Multiple trauma
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100008
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spelling	oai:scielo:S0034-988720130011000082014-09-01Triada mortal en pacientes politraumatizados, relación con mortalidad y severidadGonzález Balverde,MaríaRamírez Lizardo,Ernesto JCardona Muñoz,Ernesto GTotsuka Sutto,Sylvia EGarcía Benavides,Leonel Acidosis Coagulation protein disorders Hypothermia; Mortality Multiple trauma Background: Patients who have suffered multiple traumatic injuries, have a serious risk for death. Hypothermia, acidosis and coagulopathy are three complications in these patients, whose presence is known as lethal triad and indicates bad prognosis. Aim: To determine if the lethal triad in multiple trauma patients is associated with higher mortality and Injury Score Severity (ISS). Material and Methods: One hundred multiple trauma patients aged 26 to 56 years (90 males), admitted to an emergency room, were studied. Body temperature, prothrombin time, partial thromboplastin time, platelet count and blood gases were determined on admission. Results: Twenty six patients had the lethal triad and 15% died in the emergency room within the first 6 hours. No death was recorded among the 74 patients without the lethal triad. The mean ISS among patients with and without the lethal triad was 31.7 and 25.6, respectively (p < 0.05). Conclusions: The presence of the lethal triad among patients with multiple trauma is associated with a higher mortality and ISS.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.11 20132013-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100008es10.4067/S0034-98872013001100008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Acidosis Coagulation protein disorders Hypothermia; Mortality Multiple trauma
spellingShingle	Acidosis Coagulation protein disorders Hypothermia; Mortality Multiple trauma González Balverde,María Ramírez Lizardo,Ernesto J Cardona Muñoz,Ernesto G Totsuka Sutto,Sylvia E García Benavides,Leonel Triada mortal en pacientes politraumatizados, relación con mortalidad y severidad
description	Background: Patients who have suffered multiple traumatic injuries, have a serious risk for death. Hypothermia, acidosis and coagulopathy are three complications in these patients, whose presence is known as lethal triad and indicates bad prognosis. Aim: To determine if the lethal triad in multiple trauma patients is associated with higher mortality and Injury Score Severity (ISS). Material and Methods: One hundred multiple trauma patients aged 26 to 56 years (90 males), admitted to an emergency room, were studied. Body temperature, prothrombin time, partial thromboplastin time, platelet count and blood gases were determined on admission. Results: Twenty six patients had the lethal triad and 15% died in the emergency room within the first 6 hours. No death was recorded among the 74 patients without the lethal triad. The mean ISS among patients with and without the lethal triad was 31.7 and 25.6, respectively (p < 0.05). Conclusions: The presence of the lethal triad among patients with multiple trauma is associated with a higher mortality and ISS.
author	González Balverde,María Ramírez Lizardo,Ernesto J Cardona Muñoz,Ernesto G Totsuka Sutto,Sylvia E García Benavides,Leonel
author_facet	González Balverde,María Ramírez Lizardo,Ernesto J Cardona Muñoz,Ernesto G Totsuka Sutto,Sylvia E García Benavides,Leonel
author_sort	González Balverde,María
title	Triada mortal en pacientes politraumatizados, relación con mortalidad y severidad
title_short	Triada mortal en pacientes politraumatizados, relación con mortalidad y severidad
title_full	Triada mortal en pacientes politraumatizados, relación con mortalidad y severidad
title_fullStr	Triada mortal en pacientes politraumatizados, relación con mortalidad y severidad
title_full_unstemmed	Triada mortal en pacientes politraumatizados, relación con mortalidad y severidad
title_sort	triada mortal en pacientes politraumatizados, relación con mortalidad y severidad
publisher	Sociedad Médica de Santiago
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100008
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Triada mortal en pacientes politraumatizados, relación con mortalidad y severidad

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