Keywords
Complicación postoperatoria
Trauma abdominal
Factores de riesgo Abdominal trauma index
Postoperative complication
Abdominal trauma
Risk factors
How to Cite
Abstract
Introduction: abdominal trauma may present with multiple injuries and the treatment prognosis is standardized using indexes and scales such as the Abdominal Trauma Index (ATI) that quantifies the risk of complications but fails to include physiological parameters of the patient that impact the patient’s evolution. Methodology: an observational, prospective, analytical, comparative trial was performed at our institution, quantifying the ATI and including additional variables: time elapsed after the injury, level of contamination and grade of shock expressed as modified ATI. Results: 280 patients were included with a mean age of 31.5 ± 12 years. The most frequent mechanism was blunt trauma – 35.7%, the most affected organ the liver – 33.6%, with evidence of complications in 62.1% of the patients, of which 19.3% required surgery, with a 7.1% mortality. When comparing both groups, with a cut point of 25 pts., the modified ATI showed a 48.5% sensitivity and a specificity of 93% to predict complications, versus a 27.9% sensitivity and 93% specificity of the ATI. Conclusion: the use of additional physiological parameters over the ATI anatomical variables enables a more accurate prediction of postoperative complications in patients with abdominal trauma.
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