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Revista mexicana de angiología

versión On-line ISSN 2696-130Xversión impresa ISSN 0377-4740

Resumen

OLIVARES-CRUZ, Sandra et al. Importance of attending vascular trauma in a timely manner and having reference centers. Rev. mex. angiol. [online]. 2020, vol.48, n.2, pp.47-52.  Epub 23-Ago-2021. ISSN 2696-130X.  https://doi.org/10.24875/rma.m20000015.

Background:

Vascular trauma has increased in recent years, it has been observed that a delay in treatment impacts survival free of amputation and some kind of complications, is necessary to offer the appropriate treatment in a short period of time.

Objective:

To determine if in the patients with a diagnosis of vascular trauma attended initially in the HGM compared to those in which their first level of care was a reference hospital, they presented fewer amputations or some other complication.

Material and methods:

The records of the patients treated in the HGM with the diagnosis of vascular trauma were identified, were divided into 2 groups, the variables age, gender, comorbidities, trauma mechanism, time elapsed between trauma and definitive treatment, type of vascular repair, level of amputation, acute renal failure, and mortality.

Results:

Of the 101 identified patients, 45 files were eliminated, 61 patients were included, there was no difference in terms of demographic variables, it was observed that pulses were not palpable in the exploration in 82% of the patient’s vs 57% of the patients. referred patients, thrill at admission in 22% of those referred vs 3% of those treated in the HGM (p = 0.03), thrill at admission in 27% of those referred vs 3% (p = 0.01).

Conclusion:

it was observed that in the referred patients the average time between time and surgery was 7 days, the requirement of fasciotomies in these patients increased as well as an increase in surgical times, so it is proposed to make an early referral to a third level center.

Palabras llave : Vascular trauma; Complications; Prompt treatment.

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