Morbimortality of High-energy Orthopedic Trauma: A Descriptive Retrospective Study

Authors

  • Jadith Guerra J. University of Antioquia
  • Juan Camilo Posada Upegui University of Antioquia
  • Olga Lucía Giraldo Salazar University of Antioquia

DOI:

https://doi.org/10.17533/udea.rfnsp.v36n2a05

Keywords:

morbimortality, trauma, bone fracture, traffic accident, public health

Abstract

Objective: to describe the mortality and the main secondary complications in patients with high-energy orthopedic trauma treated at the emergency service of the Hospital Universitario San Vicente Fundación.
Methodology: descriptive retrospective study carried out in an 18-month period with patients following the inclusion criteria and after a search conducted in the hospital’s database. 10,259 patient medical records were reviewed, out of which 161 followed the inclusion criteria. The quantitative variables were analyzed by standard means and deviations. The qualitative variables were analyzed by frequency and proportions.
Results: most of the affected patients were males (80.7%), with a mean age of 37.5 years, the most affected bone was the tibia (68.3). Transit accident was the main mechanism of trauma (82%), and the most frequently
involved vehicle was the motorcycle (65.8%). There was a low mortality of three patients. The main complications were chronic osteomyelitis and pulmonary thromboembolism (7.4% and 6.8%, respectively). Sixteen patients needed attention in the Intensive Care Unit (9.9%), remaining there for an average of 6.9 days. Conclusions: high-energy orthopedic trauma is not an independent mortality factor. However, it affects public health by generating medical leaves of active workers, which causes work absences and diminishes productivity.
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Author Biographies

Jadith Guerra J., University of Antioquia

Doctor and surgeon, Anesthesiologist, University of Antioquia. Colombia.

Juan Camilo Posada Upegui, University of Antioquia

Doctor and surgeon, Anesthesiologist, University of Antioquia. Colombia.

Olga Lucía Giraldo Salazar, University of Antioquia

Anesthesiologist and teacher. Master in clinical epidemiology. University of Antioquia. Colombia.

References

(1). Feliciano DV, Mattox KL, Moore EE. Trauma. 6.a ed. New York: McGraw-Hill; 2008. pp. 105-17.

(2). Cordts RM, Parreira JG, Giannini JA, Solda SC, De campos T, Assef JC. Pelvic fractures as a marker of injury severity in trauma patients. Rev. Col. Bras. Cir. 2011;38(5):310-6.

(3). Payo J, Foruria AM, Munera L, Gil-Garay E. Tratamiento de las lesiones del aparato locomotor del paciente politraumatizado en un hospital universitario español de tercer nivel. Rev. Esp. Cir.Ortop. Traumatol. 2008;52(4):137-44.

(4). Hauschild O, Strohm PC, Culemann U, Pohlemann T, Suedkamp NP, Koestler W, et al. Mortality in patients with pelvic fractures: Results from the German pelvic injury register. J Trauma. 2008;64(2):449-55.

(5). Dalal SA, Burgess AR, Siegel JH, Young JW, Brumback RJ, Poka A, et al. Pelvic fracture in multiple trauma: Classification by mechanism is key to pattern of organ injury, resuscitative requirements, and outcome. J Trauma. 1989;29(7):981-1000.

(6). Lunsjo K, Tadros A, Hauggaard A, Blomgren R, Kopke J, Abu-Zidan FM. Associated injuries and not fracture instability predict mortality in pelvic fractures: A prospective study of 100 patients. J Trauma 2007;62(3):687-91.

(7). Kottmeier SA, Wilson SC, Born CT, Hanks GA, Iannacone WM, DeLong WG. Surgical management of soft tissue lesions associated with pelvic ring injury. Clin Orthop Relat Res 1996;(329):46-53.

(8). Tornetta P 3rd, Templeman DC. Expected outcomes after pelvic ring injury. Instr Course Lect. 2005;54:401-7.

(9). Aristizábal D, González G, Suárez JF, Roldán P. Factores asociados al trauma fatal en motociclistas en Medellín, 2005-2008. Biomédica. 2012;32(1):112-24.

(10). García HI, Vera CY, Zuluaga LM, Gallego YA. Caracterización de personas lesionadas en accidentes de tránsito ocurridos en Medellín y atendidas en un hospital de tercer nivel, 1999-2008. Rev. Fac. Nac. Salud Pública 2010;28(2):105-17.

(11). Pérez G, Bueno S. Seguridad vial y salud pública: costos de atención y rehabilitación de heridos en Chile, Colombia y Perú. Boletín FAL. CEPAL. 2012;311(7):1-11.

(12). Restrepo-Betancur LF, Angulo-Arizala J. Evolución de la siniestralidad de personas que se transportan en moto en la ciudad de Medellín, Colombia en el periodo 2008-2014. Rev Univ. salud. 2016;18(1):79-87.

(13). Balogh ZJ, Reumann MK, Gruen RL, Mayer-Kuckuk P, Schuetz MA, Harris IA, et al. Advances and future directions for management of trauma patients with musculoskeletal injuries. Lancet. 2012;380(9847):1109-19.

(14). Organización Mundial de la Salud. Informe mundial sobre prevención de los traumatismos causados por el tránsito: resumen [Internet]. 2004 [Consultado marzo de 2016]. Disponible en: http://www.who.int/violence_injury_prevention/publications/road_traffic/world_report/summary_es.pdf

(15). Instituto Nacional de Medicina Legal y Ciencias Forenses. Forensis 2014 datos para la vida [Internet]. 2015 [Consultado marzo de 2016]. Disponible en: http://www.medicinalegal.gov.co/documents/20143/49520/Forensis+2014+Datos+para+la+vida.pdf

(16). Ministerio de Transporte de Colombia. Mejoras en automóviles y cascos, claves para aumentar seguridad vial [Internet]. 18 de febrero de 2016 [Consultado marzo de 2016]. Disponible en: https://www.mintransporte.gov.co/Publicaciones/mejoras_en_automoviles_y_cascos_claves_para_aumentar_seguridad_vial.

(17). Organización Mundial de la Salud. Informe sobre la situación mundial de la seguridad vial 2015. [Internet]. 2015 [Consultado marzo de 2016]. Disponible en: http://www.who.int/violence_injury_prevention/road_safety_status/2015/Summary_GSRRS2015_SPA.pdf?ua=1

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Published

2018-05-29

How to Cite

1.
Guerra J. J, Posada Upegui JC, Giraldo Salazar OL. Morbimortality of High-energy Orthopedic Trauma: A Descriptive Retrospective Study. Rev. Fac. Nac. Salud Pública [Internet]. 2018 May 29 [cited 2025 Dec. 6];36(2):28-36. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/323623

Issue

Vol. 36 No. 2 (2018): Mayo-Agosto

Section

Servicios de salud

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