RABDOMIÓLISIS EN POLITRAUMATIZADOS EN EL ÁREA DE MEDICINA CRÍTICA. HOSPITAL LUIS VERNAZA. ENERO - AGOSTO DEL 2016

Abstract

Introduction: Rhabdomyolysis is a clinical syndrome that is generated by acute necrosis of the striated muscle, as a result of the injury of the skeletal muscle fibers, with alteration and release of its constituents in the circulation. The diagnosis is established by creatine, phosphokinase (CPK) elevation greater than 1000 IU / L. Its most serious complication is acute renal failure (ARF). Polytraumatism is an injury or trauma that affects more than one part of the body and can be caused by: traffic accidents, building collapses, crushing (agglomerations of people), electric injuries, third degree burns, among others. Up to 85% of people with severe traumatic injuries cause rhabdomyolysis. Method: The retrospective observational study was in the area of critical care medicine of the Luis Vernaza Hospital, analyzed the cases of rhabdomyolysis in polytraumatized patients, as well as CPK levels and their relationship with Acute Renal Failure. Results: A total of 95 polytraumatized patients were included in the study, of which 70.53% developed rhabdomyolysis and 16.42% developed an Acute Renal Failure (ARF). Mortality of rhabdomyolysis was 13.43%. There is no association between CPK levels and the development of ARF.