Sobrevida de pacientes sometidos a cirugía de control de daños

Abstract

Introduction: Damage control surgery is performed for patients with severe trauma with the purpose of decreasing mortality. In our country there is scarce information regarding the survival of these patients. The aim of this study is
to describe survival of patients who underwent damage control surgery and analyze influencing factors. Materials And Methods: This is an analytic, longitudinal retrospective cohort study which included patients who underwent damage control surgery for abdominal trauma at Hospital Nacional Cayetano Heredia between 2007-2017. Mortality was calculated and, according to logistic regression and multivariate Cox regression analysis, factors associated to mortality were explored. A statistical significance of p<0.05 was accepted. Results: 433 surgeries due to abdominal trauma were registered, 59 (13.6%) were damage control surgeries. Mortality was 47.4%. Variables related to the risk of death were bleeding greater than 2000 ml, retroperitoneal haematoma and the use of more than one vasopressor. Conclusions: The presence of retroperitoneal haematoma, bleeding greater than 2000ml and use of more than one vasopressor are related with increased mortality; the former is related to smaller survival rate in patients who undergo damage control surgery.