Citation

González Balverde M, Ramírez Lizardo EJ, Cardona Muñoz EG, Totsuka Sutto SE, García Benavides L. Rev. Med. Chile 2013; 141(11): 1420-1426.

Vernacular Title

Triada mortal en pacientes politraumatizados, relación con mortalidad y severidad.

Copyright

(Copyright © 2013, Sociedad Medica De Santiago)

DOI

10.4067/S0034-98872013001100008

PMID

24718468

Abstract

BACKGROUND: Patients who have suffered multiple traumatic injuries, have a serious risk for death. Hypothermia, acidosis and coagulopathy are three complications in these patients, whose presence is known as lethal triad and indicates bad prognosis.

AIM: To determine if the lethal triad in multiple trauma patients is associated with higher mortality and Injury Score Severity (ISS). Material and Methods: One hundred multiple trauma patients aged 26 to 56 years (90 males), admitted to an emergency room, were studied. Body temperature, prothrombin time, partial thromboplastin time, platelet count and blood gases were determined on admission.

RESULTS: Twenty six patients had the lethal triad and 15% died in the emergency room within the first 6 hours. No death was recorded among the 74 patients without the lethal triad. The mean ISS among patients with and without the lethal triad was 31.7 and 25.6, respectively (p < 0.05).

CONCLUSIONS: The presence of the lethal triad among patients with multiple trauma is associated with a higher mortality and ISS.

Language: es