<?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>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822018000400380</article-id>
<article-id pub-id-type="doi">10.30944/20117582.85</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aclaramiento de lactato en trauma penetrante grave]]></article-title>
<article-title xml:lang="en"><![CDATA[Lactate clearance in severe penetrating trauma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pineda-Garcés]]></surname>
<given-names><![CDATA[Diana Catalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Urhan]]></surname>
<given-names><![CDATA[Mercedes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Uribe]]></surname>
<given-names><![CDATA[Carlos H.]]></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[,Hospital Universitario de San Vicente Fundación  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario de San Vicente Fundación  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>33</volume>
<numero>4</numero>
<fpage>380</fpage>
<lpage>389</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822018000400380&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822018000400380&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822018000400380&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  El trauma es una de las principales causas de muerte en el mundo. La reacción metabólica culmina con una inadecuada entrega de oxígeno y metabolismo anaerobio, y el producto final es el lactato. Las altas concentraciones de lactato al ingreso del paciente y una normalización lenta o incompleta, se asocian con mayor mortalidad.  Materiales y métodos:  Se llevó a cabo un estudio prospectivo de cohorte, de junio de 2016 a noviembre de 2017, de pacientes mayores de 18 años con trauma penetrante grave, sometidos a cirugía emergente y con posquirúrgico en la unidad de cuidados intensivos. Se evaluaron algunos puntajes de gravedad y se cuantificó el lactato al ingreso y a las 6, 12, 18 y 24 horas. Las variables de resultados fueron: mortalidad, tiempo de estancia hospitalaria e infección del sitio operatorio. Se hizo un análisis bivariado y se elaboró un modelo de regresión lineal múltiple para estimar las asociaciones.  Resultados:  Se incluyeron 130 pacientes, entre los cuales hubo 8 (6,2 %) muertes. No hubo asociación entre la depuración del lactato y la incidencia de infección del sitio operatorio (ISO). En los fallecidos, los valores absolutos de lactato al ingreso fueron significativamente mayores que en los demás, y se observó tendencia a una menor depuración en 24 horas; después de 12 horas del ingreso, la depuración del lactato fue de más del 50 % en los sobrevivientes y, en los fallecidos, de 25,7 %. En más de la mitad de los pacientes, no se depuró el 50 % del valor inicial de lactato a las 6, 12 o 24 horas.  Conclusión:  Se demuestra la utilidad de hacer seguimiento de la concentración de lactato sérico en las primeras 24 horas, pues sirve como un factor pronóstico en pacientes con trauma penetrante grave.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Trauma is one of the main causes of death worldwide. The metabolic response culminates with inadequate oxygen delivery and anaerobic metabolism, the final product being lactate. High lactate levels at admission and slow or incomplete return to normal values are associated with higher mortality.  Materials and methods:  Prospective cohort study in patients older than 18 years with severe penetrating trauma taken to emergent surgery and post-surgery in intensive or especial care unit in the period June 2016 to November 2017. Some severity scores and lactate values were determined at admission, and at 6, 12, 18 and 24 hours. The outcome variables were mortality, length of hospital stay and surgical site infection. To estimate the associations we used a bivariate analysis and a multiple linear regression model.  Results: 130 patients were included, registering 8 deaths (6.2%). There was no association between lactate clearance and incidence of surgical site infection. Absolute lactate values at admission were significantly higher in the deceased; a tendency to a lower percentage of clearance was recorded in the deceased at 24 hours; at 12 hours after admission, the survivors had a clearance of more than 50% of the lactate and the deceased 25.7%. More than half of the patients did not clear 50% of the initial value of lactate at 6, 12 and 24 hours.  Conclusion: The usefulness of lactate monitoring during the first 24 hours as a prognostic factor in patients with severe penetrating trauma is demonstrated.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ácido láctico]]></kwd>
<kwd lng="es"><![CDATA[tasa de depuración]]></kwd>
<kwd lng="es"><![CDATA[heridas y traumatismos]]></kwd>
<kwd lng="es"><![CDATA[heridas penetrantes]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[infección de la herida quirúrgica]]></kwd>
<kwd lng="en"><![CDATA[lactic acid]]></kwd>
<kwd lng="en"><![CDATA[clearance rate]]></kwd>
<kwd lng="en"><![CDATA[wounds and injuries]]></kwd>
<kwd lng="en"><![CDATA[wounds]]></kwd>
<kwd lng="en"><![CDATA[penetrating]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[surgical wound infection]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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