<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2022000300385</article-id>
<article-id pub-id-type="doi">10.24875/ciru.21000415</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Concordancia entre los grados de lesión AAST tomográficos y quirúrgicos en hígado, bazo y riñón por trauma cerrado de abdomen]]></article-title>
<article-title xml:lang="en"><![CDATA[Concordance between tomographic and surgical AAST injury grades in liver, spleen, and kidney due to blunt abdominal trauma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bolívar-Rodríguez]]></surname>
<given-names><![CDATA[Martín A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Niebla-Moreno]]></surname>
<given-names><![CDATA[José M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Respardo-Ramírez]]></surname>
<given-names><![CDATA[Carlos A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pámanes-Lozano]]></surname>
<given-names><![CDATA[Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cázarez-Aguilar]]></surname>
<given-names><![CDATA[Marcel A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peraza-Garay]]></surname>
<given-names><![CDATA[Felipe de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Civil de Culiacán Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Culiacán ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Civil de Culiacán  ]]></institution>
<addr-line><![CDATA[Culiacán ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>3</numero>
<fpage>385</fpage>
<lpage>391</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2022000300385&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2022000300385&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2022000300385&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Determinar la concordancia entre los grados de lesión de la escala AAST (American Association for the Surgery of Trauma) tomográficos y quirúrgicos en lesiones hepáticas, esplénicas y renales por trauma abdominal cerrado.  Método: Estudio prospectivo, unicéntrico, observacional, comparativo y transversal, en pacientes mayores de 15 años con lesión hepática, esplénica o renal por trauma abdominal cerrado, sometidos a tomografía abdominal y posterior laparotomía exploradora, en quienes se determinó la concordancia de los grados de lesión AAST tomográficos y quirúrgicos de estos órganos, de marzo de 2017 a diciembre de 2020, en el Hospital Civil de Culiacán, Sinaloa, México.  Resultados: Se incluyeron 48 pacientes, con una edad promedio de 27.9 ± 10.9 años; de ellos, 41 eran hombres (85%). La lesión esplénica fue la más frecuente, en 30 pacientes (63%), seguida de la hepática en 20 (42%) y la renal en 15 (31%). La concordancia del grado de lesión AAST entre la tomografía y la cirugía fue baja o moderada, con valores kappa de 0.234 (p &lt; 0.001), 0.419 (p &lt; 0.001) y 0.415 (p &lt; 0.001) para las lesiones hepáticas, esplénicas y renales, respectivamente.  Conclusiones: Los grados de lesión AAST tomográficos y quirúrgicos en el hígado, el bazo y los riñones por trauma abdominal cerrado tienen baja y moderada concordancia, y los grados tomográficos son menores que los quirúrgicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To determine the concordance between tomographic and surgical AAST (American Association for the Surgery of Trauma) injury grades in liver, spleen, and kidney due to blunt abdominal trauma.  Method: A prospective, single-center, observational, comparative, and cross-sectional study was carried out in patients over 15 years-old, with liver, spleen, and kidney injury due to blunt abdominal trauma, who underwent abdominal tomography followed by exploratory laparotomy, in whom the concordance of the tomographic and surgical AAST grades of these organs was determined, from March 2017 to December 2020, at Hospital Civil de Culiacán, Sinaloa, México.  Results: 48 patients, with a mean age of 27.9 ± 10.9 years; 41men (85%). Spleen injury was the most frequent with 30 patients (63%), followed by liver 20 (42%) and kidney with 15 (31%). The concordance of AAST grades injury between tomography and surgery was low and moderate with kappa values of 0.234 (p &lt; 0.001), 0.419 (p &lt; 0.001), and 0.415 (p &lt; 0.001), for liver, spleen, and kidney injuries, respectively.  Conclusions: Tomographic and surgical AAST injury grades in liver, spleen, and kidney due to blunt abdominal trauma have low and moderate concordance, and tomographic grades are lower than surgical grades.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trauma abdominal cerrado]]></kwd>
<kwd lng="es"><![CDATA[Tomografía]]></kwd>
<kwd lng="es"><![CDATA[AAST]]></kwd>
<kwd lng="es"><![CDATA[Lesión de víscera sólida]]></kwd>
<kwd lng="es"><![CDATA[Concordancia]]></kwd>
<kwd lng="en"><![CDATA[Blunt trauma abdominal]]></kwd>
<kwd lng="en"><![CDATA[Tomography]]></kwd>
<kwd lng="en"><![CDATA[AAST]]></kwd>
<kwd lng="en"><![CDATA[Solid viscera injury]]></kwd>
<kwd lng="en"><![CDATA[Concordance]]></kwd>
</kwd-group>
</article-meta>
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