<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992018000300169</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pruebas de coagulación de rutina en cirugía abdominal electiva para predecir riesgo de hemorragia]]></article-title>
<article-title xml:lang="en"><![CDATA[Routine coagulation tests during elective abdominal surgery to predict risk of bleeding]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-González]]></surname>
<given-names><![CDATA[Rey J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Flores]]></surname>
<given-names><![CDATA[Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galindo-Lagunes]]></surname>
<given-names><![CDATA[Dania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Boca del Río Departamento de Cirugía ]]></institution>
<addr-line><![CDATA[Veracruz ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Boca del Río  ]]></institution>
<addr-line><![CDATA[Veracruz ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de Boca del Río Departamento de Banco de Sangre ]]></institution>
<addr-line><![CDATA[Veracruz ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>3</numero>
<fpage>169</fpage>
<lpage>174</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992018000300169&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992018000300169&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992018000300169&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Muchas instituciones en México realizan pruebas de coagulación (PC) de rutina previas a una cirugía electiva para prevenir hemorragia intraoperatoria o postoperatoria. Sin embargo, algunas publicaciones no aprueban esta práctica.  Objetivo:  Evaluar la utilidad de las pruebas de coagulación previas a cirugías abdominales electivas para predecir el riesgo de SIP.  Material y métodos:  Se llevó a cabo un estudio retrospectivo comparativo. Se incluyeron 263 pacientes a quienes se les realizó cirugía abdominal electiva. Las pruebas de coagulación se compararon con variables de género, grupos de edad, presencia de hemorragia intraoperatoria o postoperatoria, tiempo quirúrgico y tiempo de estancia intrahospitalaria.  Resultados:  Se informó un total de dos (0.76%) hemorragias intraoperatorias o postoperatorias. Se observaron resultados anormales en 10 (3.8%) pacientes con international normalized ratio con riesgo mínimo de sangrado, en tres (1.1%) con INR con riesgo máximo de sangrado, 66 (25.1%) con tiempo parcial de tromboplastina y 25 (9.5%) con tiempo de protrombina. No hubo diferencia significativa cuando las PC se compararon con género, presencia de hemorragia intraoperatoria o postoperatoria o tiempo quirúrgico. International normalized ratio anormal con riesgo máximo de sangrado fue significativamente más común en pacientes &#8805; 60 años (p = 0.002). El tiempo quirúrgico y el tiempo de estancia intrahospitalaria fueron más prolongados en pacientes con international normalized ratio anormal con riesgo máximo (p = 0.003) y mínimo de sangrado (p = 0.005), respectivamente.  Conclusiones:  La práctica de solicitar pruebas de coagulación de rutina previa a cirugías abdominales electivas no tiene justificación y debería evitarse.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  Many institutions in Mexico perform routine coagulation tests, prior to an elective surgery to prevent an intra or postoperative bleeding. However, some publications do not approve this practice.  Objective:  Analyze the utility of coagulation tests for elective surgeries and the possibility for intra or postoperative bleeding.  Material and methods:  A retrospective comparative study was performed; it included 263 patients who underwent elective abdominal surgeries from a single institution. coagulation tests were compared with: sex, groups of age, intra or post-operative bleeding, surgical time and hospital length of stay.  Results:  A total of 2 (0.76%) intra or postoperative bleeding was found. Abnormal tests were reported in INR with minimal risk of bleeding (10/3.8%), INR with the maximal risk of bleeding (3/1.1%), PTT (66/25.1%) and PT (25/9.5%). There was no significant difference when coagulation tests was compared with sex, intra or postoperative bleeding or surgical time. Abnormal INR with maximal risk of bleeding was more common in patients &#8805; 60-years old (p = 0.002). Surgical time and hospital length of stay were longer in patients with abnormal INR with maximal (p = 0.003) and minimal risk of bleeding (p = 0.005), respectively.  Conclusions:  Routine use of coagulation tests prior to elective abdominal surgery has no justification and it should be avoided.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pruebas de coagulación]]></kwd>
<kwd lng="es"><![CDATA[sangrado]]></kwd>
<kwd lng="es"><![CDATA[cirugía electiva]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[reparación de hernia]]></kwd>
<kwd lng="en"><![CDATA[Coagulation tests]]></kwd>
<kwd lng="en"><![CDATA[bleeding]]></kwd>
<kwd lng="en"><![CDATA[elective surgery]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[hernia repair]]></kwd>
</kwd-group>
</article-meta>
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<source><![CDATA[Int J Pediatr Otorhinolaryngol]]></source>
<year>2001</year>
<volume>61</volume>
<page-range>217-22</page-range></nlm-citation>
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</back>
</article>
