000			03423na a2200373 4500
003			PC5730
005			20240709062741.0
008			130622s2013 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aspa, eng
100			_aÁvila Martínez, Régulo José _91959 _eCirugía Torácica
100			_91182 _aDíaz-Hellín Gude, Vicente _eCirugía Torácica
100			_91635 _aGámez García, Pablo _eCirugía Torácica
100			_aHermoso Alarza, Fátima _91960 _eCirugía Torácica
100			_92067 _aHernández Voth, Ana _eNeumología
100			_91590 _aLarrú Cabrero, Emilio _eCirugía Torácica
100			_aMariscal de Alba, María Andrea _91961 _eCirugía Torácica
100			_9378 _aMarrón Fernández, María del Carmen _eCirugía Torácica
100			_aMartínez Serna, Iván _92356 _eCirugía Torácica
100			_aMeneses Pardo, José Carlos _91204 _eCirugía Torácica
100			_aZuluaga Bedoya, Mauricio _91962 _eCirugía Torácica
110			_92357 _aTrujillo, María Dolores _eCirugía Torácica
245	0	0	_aEvolución y complicaciones del traumatismo torácico. _h[artículo]
260			_bArchivos De Bronconeumología, _c2013
300			_a49(5):177-80.
500			_aFormato Vancouver: Ávila Martínez RJ, Hernández Voth A, Marrón Fernández C, Hermoso Alarza F, Martínez Serna I, Mariscal de Alba A et al. Evolución y complicaciones del traumatismo torácico. Arch Bronconeumol. 2013 May;49(5):177-80.
501			_aPMID: 23415575
504			_aContiene 19 referencias
520			_aObjective: To describe the clinical characteristics and risk factors of patients with chest trauma, and to evaluate their correlation with the development of complications. Methods: Descriptive, prospective and analytical study of a patient cohort with chest trauma who underwent follow-up for a period of 30 days. Excluded from the study were those patients with moderate to severe traumatic brain injury, long-bone fractures, abdominal trauma and patients requiring mechanical ventilation. Results: A total of 376 patients met the inclusion criteria, 220 of whom were males (58.5%). The most frequent causes of trauma were falls (218 cases; 57.9%) and motor vehicle accidents (57 cases; 15.1%). The most frequent type of trauma was rib contusion (248 cases; 65.9%) and rib fractures (61 cases; 16.2%). Complications were observed in 43 patients (11.4%), mainly hemothorax (13 cases), pneumothorax (9 cases), pneumonia (6 cases) and acute renal failure (4 cases). Four patients died due to pneumonia and hemothorax. Thirty-three patients were hospitalized (8.7%) and 10 (2.6%) required later re-admittance.The risk for complications increased significantly in patients with more than 2 rib fractures, in those over the age of 85 and in the presence of certain comorbidities, such as COPD and pathologies requiring anticoagulation therapy. The risk for re-admittance is higher in patients over the age of 60. Conclusions: Patients with chest trauma who present certain comorbidities, are over the age of 85 and have more than 2 rib fractures may present more complications. These factors should be contemplated in the evaluation, management and follow-up of these subjects.
710			_9380 _aServicio de Cirugía Torácica
710			_988 _aServicio de Neumología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/5/pc5730.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c5730 _d5730