{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T08:59:24Z","timestamp":1762505964581},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:p>OBJETIVO: Identificar fatores preditivos de les\u00f5es abdominais em v\u00edtimas de trauma fechado. M\u00c9TODOS: An\u00e1lise retrospectiva dos dados das v\u00edtimas de trauma fechado com idade superior a 13 anos, em um per\u00edodo de 15 meses. Comparamos as vari\u00e1veis entre os doentes com les\u00f5es abdominais diagnosticadas por tomografia computadorizada e\/ou laparotomia - grupo I (Abbreviated Injury Scale abdome&gt;0, grupo I) e os demais - grupo II (Abbreviated Injury Scale abdome=0,). RESULTADOS: Foram inclu\u00eddos 3783 casos, com m\u00e9dia et\u00e1ria de 39,1 +17,7 anos (14 a 99 anos), sendo 76,1% do sexo masculino. Foram identificadas les\u00f5es abdominais em 130 doentes (3,4%). Os traumatizados com les\u00f5es abdominais apresentaram, significativamente, menor m\u00e9dia et\u00e1ria (35,4 + 15,4 anos vs. 39,2 + 17,7 anos), menor m\u00e9dia da press\u00e3o arterial sist\u00f3lica \u00e0 admiss\u00e3o (114,7 + 32,4mmHg vs. 129,1 + 21,7mmHg), menor m\u00e9dia na escala de coma de Glasgow \u00e0 admiss\u00e3o (12,9 + 3,9 vs. 14,3 + 2,0), maior m\u00e9dia de AIS em segmento cef\u00e1lico (0,95 + 1,5 vs. 0,67 + 1,1), maior m\u00e9dia de AIS em segmento tor\u00e1cico (1,10 + 1,5 vs. 0,11 + 0,6) e maior m\u00e9dia de AIS em extremidades (1,70 \u00b1 1,8 vs. 1,03 \u00b1 1,2). Os maiores Odds ratio foram presen\u00e7a de t\u00f3rax fl\u00e1cido (21,8) e fraturas de pelve (21,0). CONCLUS\u00c3O: As les\u00f5es abdominais foram mais frequentemente observadas nos doentes com instabilidade hemodin\u00e2mica, altera\u00e7\u00e3o na escala de coma de Glasgow, les\u00f5es graves em cr\u00e2nio, t\u00f3rax ou extremidades.<\/jats:p>","DOI":"10.1590\/s0100-69912012000400009","type":"journal-article","created":{"date-parts":[[2012,8,29]],"date-time":"2012-08-29T08:58:36Z","timestamp":1346230716000},"page":"295-301","source":"Crossref","is-referenced-by-count":17,"title":["Fatores preditivos de les\u00f5es abdominais em v\u00edtimas de trauma fechado"],"prefix":"10.1590","volume":"39","author":[{"given":"Samiris","family":"Farrath","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Gustavo","family":"Parreira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline A. 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