“SCORE APGAR QUIRÚRGICO EN PACIENTES POLITRAUMATIZADOS EN EL HOSPITAL TEODORO MALDONADO CARBO, ENTRE EL PERIODO 2016 - 2018”

Abstract

Context: polytrauma is among the leading causes of mortality worldwide. Traffic accidents being its main cause. Polytraumatized patients are high-risk patients, which requires a very careful clinical and surgical management. Predicting mortality in these patients has been a challenge in the field of health. With the preoperative risk adjustment, transoperative performance in surgical outcomes can be considered. This study aims to evaluate the association of surgical Apgar Score (based on intraoperative blood loss, lower heart rate and mean arterial pressure during surgery) in patients with multiple trauma surgery, to the possible complications and mortality that these patients have after of surgery. Materials and methods: Using the transgures of the hospital database, the scores of the Surgical Apgar score and post-surgical complications and deaths were calculated during the period 2016 - 2018. A sample of 33 polytraumatized patients was obtained who underwent resolutive surgery. Results: of the 33 patients evaluated in this study, patients with scores of 9 - 10, 3 (9.1%) developed complications in 33.3% and zero deaths. In comparison, among 5 patients (15.2%) with a score of four or less, 100% developed major complications and 40% of them died. The score of the three variables achieves a statistic of (p-value: 0.01) for complications and (p-value: 0.024) for mortality, proving to be statistically significant. Conclusions: The Apgar Surgical Score is a tool of fundamental use to measure in a simple, immediate and objective way, the surgical risk in polytraumatized patients. The SAQ allowed us to effectively recognize patients with a higher and lower probability than the average of major complications and / or postoperative death. It can also be useful to evaluate surgical interventions, which allow us to prevent unfavorable results.