Fraturas causadas por armas de fogo: epidemiologia e taxa de infecção
To investigate the incidence of infection in patients with gunshot-related fractures, and to correlate this finding with the occurrence of surgical debridement in the emergency room.Methods : A retrospective, observational, descriptive study that included all cases of fractures caused by firearms be...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2020 |
| País: | Brasil |
| Institución: | Universidade Federal de Minas Gerais (UFMG) |
| Repositorio: | Repositório Institucional da UFMG |
| Idioma: | portugués |
| OAI Identifier: | oai:repositorio.ufmg.br:1843/60654 |
| Acceso en línea: | http://hdl.handle.net/1843/60654 |
| Access Level: | acceso abierto |
| Palabra clave: | Infecção dos Ferimentos Ferimentos por Arma de Fogo Fraturas Ósseas |
| Sumario: | To investigate the incidence of infection in patients with gunshot-related fractures, and to correlate this finding with the occurrence of surgical debridement in the emergency room.Methods : A retrospective, observational, descriptive study that included all cases of fractures caused by firearms between January 2010 and December 2014; 245 fractures in 223 patients were included. Results There was surgical-site infection in 8.5% of the fractures, and the meannumber of debridements required to control the infectious process was of 1.273 0.608. A correlation was identified between the surgical treatment chosen and the affected body segment (p < 0.001). The surgical treatment in the emergency room had a correlation with the occurrence of infection (p < 0.001; Chi-squared test).Conclusion Patients with gunshot injuries treated non-operatively presented less severe and stable lesions; thus, the incidence of complications in this group was found to be lower. On the other hand, those patients with complex lesions underwent debridement and external fixation. Therefore, a greater number of infectious compli cations in patients submitted to external fixation was found, as expected. |
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