Examinando por Materia "Estudios Retrospectivos"

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    Effectiveness of Prehospital Spine Motion Restriction in Penetrating Trauma
    (Universidad Privada Norbert Wiener, 2019-08-25) Rios Prado, Magali Cristina; Yauri Yauri, Magale Yole; Calsin Pacompia, Wilmer
    Objective: Systematize the evidence on the effectiveness of prehospital spinal movement restriction in penetrating trauma to prevent neurological complications. MATERIAL AND METHOD: The study was quantitative, with a systematic, observational and retrospective review design; of articles with full text, which identified their grade or quality of evidence and strength of recommendation according to the GRADE System. Likewise, the population was made up of 25 articles and the sample included 10 most relevant articles, obtained from the following databases Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs. Results: Of the articles found, 40% Spain, 40% United States, 10% England, and 10% Iran. Likewise, the systematic review was the study design used in 70% of the investigations; and followed by 30% were retrospective studies. Of the 10 articles reviewed, 60% demonstrate that prehospital spinal movement restriction in penetrating trauma is not effective in preventing neurological complications; and 40% demonstrate that prehospital spinal movement restriction in penetrating trauma is effective in preventing neurological complications. Conclusions: 60% showed that prehospital restriction of movement of the spine in penetrating trauma is not effective in preventing neurological complications, presents harmful effects, increases risks of neurological disability and possible deaths in the short or long term depending on the patient's condition and 40 % showed that prehospital restriction of spinal column movement in penetrating trauma is effective in preventing neurological complications; because during the pre-hospital transfer it avoids or prevents traumatic and neurological injuries, disabilities, sequelae, paraplegics and even the death of the patient.