000			02331na a2200277 4500
003			H12O
005			20180417112304.0
008			130622s2012 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aCaba Doussoux, Pedro _91984 _eCirugía Ortopédica y Traumatología
100			_aGarcía Fuentes, Carlos _91296 _eMedicina Intensiva
100			_aLeón Baltasar, José Luis _92115 _eCirugía Ortopédica y Traumatología
100			_91825 _aResines Erasun, Carlos _eCirugía Ortopédica y Traumatología
245	0	0	_aDamage control orthopaedics in severe polytrauma with femur fracture. _h[artículo]
260			_bInjury, _c2012
300			_a43 Suppl 2:S42-6.
500			_aFormato Vancouver: Caba-Doussoux P, León-Baltasar JL, García-Fuentes C, Resines-Erasun C. Damage control orthopaedics in severe polytrauma with femur fracture. Injury. 2012 Dec;43 Suppl 2:S42-6.
501			_aPMID: 23622991
504			_aContiene 33 referencias
520			_aOBJECTIVE: To evaluate the rate of systemic complications and mortality in severe polytrauma patients with associated femur fracture treated by early external fixation of femur. PATIENTS AND METHODOLOGY: We made a retrospective cohort study with forty-one adult multitrauma patients (New Injury Severity Score ≥ 19) with femur fracture treated by external fixation following Damage Control Orthopaedic surgery. The mortality rates, TRISS analysis, incidence of ARDS and MOF were analysed. RESULTS: The mean NISS was 41.2 and the mean age 32.7. 50% of patients were in shock on admission. All patients were treated in the first 12 hours with external fixation. 30% of patients developed ARDS and six patients had MOF. Five patients treated by external fixation died. Difference between predicted mortality by TRISS and actual mortality showed a reduction of 15.9% (0.71 predicted survival versus 0.88 real survival). CONCLUSIONS: An aggressive and early Damage Control approach to treat femur fractures in severe polytrauma patients led to low mortality rate comparing to the predicted mortality by TRISS.
710			_9371 _aServicio de Cirugía Ortopédica y Traumatología
710			_967 _aServicio de Medicina Intensiva
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/4/pc4395.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c4395 _d4395