<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-386X</journal-id>
<journal-title><![CDATA[Revista Facultad Nacional de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Nac. Salud Pública]]></abbrev-journal-title>
<issn>0120-386X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-386X2018000200028</article-id>
<article-id pub-id-type="doi">10.17533/udea.rfnsp.v36n2a05</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbimortalidad en trauma ortopédico de alta energía: estudio descriptivo retrospectivo]]></article-title>
<article-title xml:lang="en"><![CDATA[Morbimortality of High-energy Orthopedic Trauma: a Descriptive Retrospective Study]]></article-title>
<article-title xml:lang="pt"><![CDATA[Morbimortalidade em trauma ortopédico de alta energia: estudo descritivo retrospective]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra-J]]></surname>
<given-names><![CDATA[Jadith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Posada-Upegui]]></surname>
<given-names><![CDATA[Juan Camilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giraldo-Salazar]]></surname>
<given-names><![CDATA[Olga Lucia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>28</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-386X2018000200028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-386X2018000200028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-386X2018000200028&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Describir la mortalidad y las principales complicaciones secundarias en los pacientes con trauma ortopédico de alta energía, admitidos en el servicio de urgencias del Hospital Universitario San Vicente Fundación.  Metodología:  Se llevó a cabo un estudio descriptivo retrospectivo de los pacientes, en un período de 18 meses, que cumplieron los criterios de inclusión luego de realizar la búsqueda en la base de datos del Hospital. Se revisaron 10 259 historias clínicas, de las cuales 161 cumplían los criterios de inclusión. Las variables cuantitativas se analizaron mediante medias y desviaciones estándar, y las cualitativas, a través de frecuencias y proporciones. El análisis estadístico se efectuó con el SPSS® 21.  Resultados:  La mayoría de pacientes afectados correspondía al sexo masculino (80,7 %), con edad promedio de 37,5 años; el principal hueso afectado fue la tibia (68,3 %). El principal mecanismo de trauma fue accidente de tránsito (82 %), siendo la motocicleta el vehículo involucrado con mayor frecuencia (65,8 %). La mortalidad fue baja, fallecieron tres pacientes. Las principales complicaciones fueron osteomielitis crónica y tromboembolismo pulmonar (7,4 y 6,8 %, respectivamente). Dieciséis pacientes requirieron ingreso a la unidad de cuidados intensivos (9,9 %), con un promedio de estancia de 6,9 días.  Conclusiones:  El trauma ortopédico de alta energía no es un factor de mortalidad independiente; sin embargo, impacta sobre la salud pública, debido a la discapacidad que esta lesión genera en individuos laboralmente activos, lo que lleva a ausentismo laboral y pérdida de la productividad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: to describe the mortality and the main secondary complications in patients with high-energy orthopedic trauma treated at the emergency service of the Hospital Universitario San Vicente Fundación.  Methodology: descriptive retrospective study carried out in an 18-month period with patients following the inclusion criteria and after a search conducted in the hospital&#8217;s database. 10,259 patient medical records were reviewed, out of which 161 followed the inclusion criteria. The quantitative variables were analyzed by standard means and deviations. The qualitative variables were analyzed by frequency and proportions.  Results: most of the affected patients were males (80.7%), with a mean age of 37.5 years, the most affected bone was the tibia (68.3). Transit accident was the main mechanism of trauma (82%), and the most frequently involved vehicle was the motorcycle (65.8%). There was a low mortality of three patients. The main complications were chronic osteomyelitis and pulmonary thromboembolism (7.4% and 6.8%, respectively). Sixteen patients needed attention in the Intensive Care Unit (9.9%), remaining there for an average of 6.9 days.  Conclusions: high-energy orthopedic trauma is not an independent mortality factor. However, it affects public health by generating medical leaves of active workers, which causes work absences and diminishes productivity.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo: Descrever a mortalidade e as principais complicações secundárias nos pacientes com trauma ortopédico de alta energia, tratados no serviço de urgências do Hospital Universitario San Vicente Fundación.  Metodologia: foi feito um estudo descritivo retrospectivo dos pacientes, em 18 meses, respeitando critérios de inclusão após realizar a pesquisa na base de dados do Hospital. Revisaram-se 10 259 histórias clínicas, das quais 161 acatavam os critérios de inclusão. As variáveis quantitativas analisaram-se por meio de medições e desvios standards. As variáveis qualitativas analisaram-se através de frequências e proporções.  Resultados: a maioria dos pacientes afetados eram de sexo masculino (80,7 %), com idade média de 37,5 anos, o principal osso afetado foi a tíbia (68,3 %). O principal mecanismo de trauma foi acidente de trânsito (82%), sendo a motocicleta o veículo envolvido com mais frequência (65,8 %). A mortalidade foi baixa, morreram três pacientes. As principais complicações foram a ostomielite crônica e o tromboembolismo pulmonar (7,4 e 6,8 %, respetivamente). Dezesseis pacientes precisaram atenção na Unidade de Terapia Intensiva (9,9%), com média de tempo na uti de 6,9 dias.  Conclusões: o trauma ortopédico de alta energia não é um fator de mortalidade independente. Porém, afeta a saúde pública pelo impedimento gerado em pessoas que trabalham, porque elas devem se ausentar dos seus labores e a produtividade diminui.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Morbimortalidad]]></kwd>
<kwd lng="es"><![CDATA[Traumatismo]]></kwd>
<kwd lng="es"><![CDATA[Fracturas Óseas]]></kwd>
<kwd lng="es"><![CDATA[Accidentes de Tránsito]]></kwd>
<kwd lng="es"><![CDATA[Salud Pública]]></kwd>
<kwd lng="en"><![CDATA[morbimortality]]></kwd>
<kwd lng="en"><![CDATA[trauma]]></kwd>
<kwd lng="en"><![CDATA[bone fracture]]></kwd>
<kwd lng="en"><![CDATA[traffic accident]]></kwd>
<kwd lng="en"><![CDATA[public health]]></kwd>
<kwd lng="pt"><![CDATA[morbimortalidade]]></kwd>
<kwd lng="pt"><![CDATA[trauma]]></kwd>
<kwd lng="pt"><![CDATA[fratura de ossos]]></kwd>
<kwd lng="pt"><![CDATA[acidente de trânsito]]></kwd>
<kwd lng="pt"><![CDATA[saúde pública]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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