Pub Date : 2025-06-01DOI: 10.1016/j.medin.2025.502140
Jorge Luis Vélez-Páez , Christian Castro-Bustamante , Manuel Luis Avellanas-Chavala
{"title":"Gasometría y altitud: investigación de los rangos de normalidad en Quito, Ecuador (2.850 m sobre el nivel del mar)","authors":"Jorge Luis Vélez-Páez , Christian Castro-Bustamante , Manuel Luis Avellanas-Chavala","doi":"10.1016/j.medin.2025.502140","DOIUrl":"10.1016/j.medin.2025.502140","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 6","pages":"Article 502140"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01DOI: 10.1016/j.medin.2025.502165
Judit Gutiérrez-Gutiérrez , Jesús Abelardo Barea-Mendoza , Carlos García-Fuentes , Juan Antonio Llompart-Pou , Begoña Guardiola-Grau , Mikel Durán-Suquía , María Ángeles Ballesteros-Sanz , Javier González-Robledo , Lluís Serviá-Goixart , Cristina Méndez-Benegassi Cid , Jose Maria Toboso Casado , Mario Chico-Fernández , En representación del grupo de trabajo de Neurointensivismo y Trauma de la SEMICYUC
Objective
To describe the epidemiology of penetrating trauma, mortality associated factors and its management in Spanish intensive care units.
Design
Multicenter, prospective registry. A comparison is established between two cohorts defined by the type of trauma (blunt and penetrating).
Patients
Patients with traumatic injury admitted to the participating ICUs from June 2015 to June 2022.
Interventions
None.
Main variable of interest Epidemiology, injury pattern, prehospital and hospital care, resource utilization, and clinical outcomes.
Results
Twelve thousand eight hundred six patients were eligible, of whom 821 (6.4%) suffered penetrating trauma; 418 patients (50.9%) from stab wounds, 93 (11.3%) from gunshot wounds, and 310 (37.8%) from other objects. The most common intent was assault (47.7%). The mean ISS was 15.2 ± 10.6 in penetrating trauma and 19.8 ± 11.9 in blunt trauma (P<.001). ICU mortality was 7.8% compared to 11.7% in blunt trauma, with deaths more frequently occurring within the first 24 hours (64 vs. 39%). Factors associated with mortality included female sex, prior use of antithrombotic agents, older age, higher NISS score, and the presence of cranial trauma or shock.
Conclusions
Penetrating trauma is an emergent pathology in our context with high complexity, highlighting the need for focused study and documentation, protocol development, and resource optimization to provide quality care.
{"title":"Traumatismo penetrante en España: análisis del registro español de trauma en la UCI (RETRAUCI)","authors":"Judit Gutiérrez-Gutiérrez , Jesús Abelardo Barea-Mendoza , Carlos García-Fuentes , Juan Antonio Llompart-Pou , Begoña Guardiola-Grau , Mikel Durán-Suquía , María Ángeles Ballesteros-Sanz , Javier González-Robledo , Lluís Serviá-Goixart , Cristina Méndez-Benegassi Cid , Jose Maria Toboso Casado , Mario Chico-Fernández , En representación del grupo de trabajo de Neurointensivismo y Trauma de la SEMICYUC","doi":"10.1016/j.medin.2025.502165","DOIUrl":"10.1016/j.medin.2025.502165","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the epidemiology of penetrating trauma, mortality associated factors and its management in Spanish intensive care units.</div></div><div><h3>Design</h3><div>Multicenter, prospective registry. A comparison is established between two cohorts defined by the type of trauma (blunt and penetrating).</div></div><div><h3>Patients</h3><div>Patients with traumatic injury admitted to the participating ICUs from June 2015 to June 2022.</div></div><div><h3>Interventions</h3><div>None.</div><div>Main variable of interest Epidemiology, injury pattern, prehospital and hospital care, resource utilization, and clinical outcomes.</div></div><div><h3>Results</h3><div>Twelve thousand eight hundred six patients were eligible, of whom 821 (6.4%) suffered penetrating trauma; 418 patients (50.9%) from stab wounds, 93 (11.3%) from gunshot wounds, and 310 (37.8%) from other objects. The most common intent was assault (47.7%). The mean ISS was 15.2<!--> <!-->±<!--> <!-->10.6 in penetrating trauma and 19.8<!--> <!-->±<!--> <!-->11.9 in blunt trauma (<em>P</em><.001). ICU mortality was 7.8% compared to 11.7% in blunt trauma, with deaths more frequently occurring within the first 24<!--> <!-->hours (64 vs. 39%). Factors associated with mortality included female sex, prior use of antithrombotic agents, older age, higher NISS score, and the presence of cranial trauma or shock.</div></div><div><h3>Conclusions</h3><div>Penetrating trauma is an emergent pathology in our context with high complexity, highlighting the need for focused study and documentation, protocol development, and resource optimization to provide quality care.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 6","pages":"Article 502165"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01DOI: 10.1016/j.medin.2024.502124
Hala El Haddad, Isabel Espinosa Rueda, Nora Palomo-López
{"title":"Síndrome aórtico agudo y shock cardiogénico, más allá del diagnóstico radiológico","authors":"Hala El Haddad, Isabel Espinosa Rueda, Nora Palomo-López","doi":"10.1016/j.medin.2024.502124","DOIUrl":"10.1016/j.medin.2024.502124","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 6","pages":"Article 502124"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号