Mortalidad de transfusión masiva temprana en pacientes con trauma penetrante en el hospital universitario San Jorge de Pereira

Abstract

Violence and accidents are frequent causes of trauma in Colombia. Different alternatives on the correct handling of traumatized patients have been elaborated due to the need to improve protocols to modify in a favorable way the prognosis of patients; one of these has been the implementation of early massive hemotransfusion. A study was realized with the aim to identify the number of patients admitted to the Hospital Universitario San Jorge de Pereira with penetrating trauma to neck, thorax, abdomen and extremities, that fulfilled criteria for early massive hemo transfusion and to determine the percentage of those who received transfusions during the months of February and March of 2010. From this, a descriptive study including 64 clinical histories of patients with diagnosis of penetrating trauma in the anatomical zones already described was carried out, admitted to the Hospital Universitario San Jorge de Pereira using an instrument that included the criteria for early hemotransfusion and some epidemiological variables. The results reflect that 3% of the patients included, had criteria for early massive transfusion, these criteria was not used in its protocol of resuscitation and 97% of the studied patients did not fulfill transfusion criteria. In order to determine the usefulness of the early massive transfusion in the Hospital Universitario San Jorge, it is required the implementation of resuscitation protocols in which criteria of early transfusion are included, with the purpose of being able to evaluate survival in later investigations.