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Resultados a corto y largo plazo de pacientes sometidos a toracotomía de reanimación. Análisis retrospectivo de 6 años.

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Title: Resultados a corto y largo plazo de pacientes sometidos a toracotomía de reanimación. Análisis retrospectivo de 6 años.
Alternate Title: Short- and long-term outcomes of patients undergoing resuscitative thoracotomy. Retrospective analysis of 6 years.
Authors: Neumann-Bargetto, Megan1, Pablo Ramos-Perkis, Juan1 jramos.med@gmail.com
Source: Revista de Cirugia. 2026, Vol. 78 Issue 2, p151-155. 5p.
Abstract (English): Introduction: Resuscitative thoracotomy (RT) is an emergency surgical procedure indicated in patients with severe thoracic trauma, particularly those in cardiac arrest (CA) or "in extremis" due to hemorrhagic shock. It requires intensive use of resources and is associated with high mortality, especially in blunt trauma. In Chile, data regarding the outcomes of this procedure are scarce. Objective: To describe short- and long-term outcomes of patients who underwent RT at a tertiary trauma center between 2018 and 2024. Methods: This was a retrospective study based on the trauma registry of Sótero del Río Hospital. Patients over 15 years old who underwent RT in the trauma bay were included. Demographic variables, injury mechanism, procedure indication, mortality, hospital stay, and complications were analyzed. Statistical analysis included Chi-square and Student’s t-tests, with p < 0.05 considered statistically significant. Results: A total of 78 patients who underwent RT were identified. Of these, 69.2% had penetrating trauma, with a 30-day survival rate of 14.8%. No survivors were recorded in the blunt trauma group. RT performed based on signs of life showed higher survival (15.3%) compared to RT based on CPR time (7.3%). Overall 30-day survival was 10.2%, and one-year survival was 9%. Conclusion: RT may be a valuable intervention in selected patients with penetrating trauma and signs of life. In resource-limited settings, its indication should be restricted to these cases to improve outcomes and optimize resource utilization. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La toracotomía de reanimación (TR) es una intervención quirúrgica de emergencia indicada en pacientes con trauma torácico grave, principalmente en paro cardiorrespiratorio (PCR) o en estado in extremis por shock hemorrágico. Su realización implica una utilización intensiva de recursos y está asociada a una alta mortalidad, especialmente en trauma cerrado. En Chile, existen escasos datos sobre los resultados de esta intervención. Objetivo: Describir los resultados a corto y largo plazo de pacientes sometidos a TR en un centro de trauma terciario, entre los años 2018 y 2024. Métodos: Estudio retrospectivo basado en el registro de trauma del Hospital Sótero del Río. Se incluyeron pacientes mayores de 15 años que recibieron TR en el box de trauma. Se analizaron variables demográficas, mecanismo de lesión, indicación del procedimiento, mortalidad, estancia hospitalaria y complicaciones. El análisis estadístico incluyó pruebas de Chi-cuadrado y t de Student, considerando p < 0,05 como significativo. Resultados: Se identificaron 78 pacientes sometidos a TR. El 69,2% presentó trauma penetrante, con una supervivencia a 30 días del 14,8%. No hubo sobrevivientes en el grupo con trauma cerrado. La indicación por signos de vida se asoció a una mayor supervivencia (15,3%) que la basada en tiempo de PCR (7,3%). La supervivencia global a 30 días fue del 10,2%, y a un año del 9%. Conclusión: La TR puede ser una intervención útil en pacientes seleccionados con trauma penetrante y signos de vida. En contextos con recursos limitados, se recomienda restringir su indicación a estos casos para optimizar los resultados. [ABSTRACT FROM AUTHOR]
Copyright of Revista de Cirugia is the property of Sociedad de Cirujanos de Chile and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Resultados a corto y largo plazo de pacientes sometidos a toracotom&#237;a de reanimaci&#243;n. An&#225;lisis retrospectivo de 6 a&#241;os.
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  Label: Alternate Title
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  Data: Short- and long-term outcomes of patients undergoing resuscitative thoracotomy. Retrospective analysis of 6 years.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Neumann-Bargetto%2C+Megan%22&quot;&gt;Neumann-Bargetto, Megan&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Pablo+Ramos-Perkis%2C+Juan%22&quot;&gt;Pablo Ramos-Perkis, Juan&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; jramos.med@gmail.com&lt;/i&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Revista+de+Cirugia%22&quot;&gt;Revista de Cirugia&lt;/searchLink&gt;. 2026, Vol. 78 Issue 2, p151-155. 5p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: Resuscitative thoracotomy (RT) is an emergency surgical procedure indicated in patients with severe thoracic trauma, particularly those in cardiac arrest (CA) or &quot;in extremis&quot; due to hemorrhagic shock. It requires intensive use of resources and is associated with high mortality, especially in blunt trauma. In Chile, data regarding the outcomes of this procedure are scarce. Objective: To describe short- and long-term outcomes of patients who underwent RT at a tertiary trauma center between 2018 and 2024. Methods: This was a retrospective study based on the trauma registry of S&#243;tero del R&#237;o Hospital. Patients over 15 years old who underwent RT in the trauma bay were included. Demographic variables, injury mechanism, procedure indication, mortality, hospital stay, and complications were analyzed. Statistical analysis included Chi-square and Student’s t-tests, with p &lt; 0.05 considered statistically significant. Results: A total of 78 patients who underwent RT were identified. Of these, 69.2% had penetrating trauma, with a 30-day survival rate of 14.8%. No survivors were recorded in the blunt trauma group. RT performed based on signs of life showed higher survival (15.3%) compared to RT based on CPR time (7.3%). Overall 30-day survival was 10.2%, and one-year survival was 9%. Conclusion: RT may be a valuable intervention in selected patients with penetrating trauma and signs of life. In resource-limited settings, its indication should be restricted to these cases to improve outcomes and optimize resource utilization. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducci&#243;n: La toracotom&#237;a de reanimaci&#243;n (TR) es una intervenci&#243;n quir&#250;rgica de emergencia indicada en pacientes con trauma tor&#225;cico grave, principalmente en paro cardiorrespiratorio (PCR) o en estado in extremis por shock hemorr&#225;gico. Su realizaci&#243;n implica una utilizaci&#243;n intensiva de recursos y est&#225; asociada a una alta mortalidad, especialmente en trauma cerrado. En Chile, existen escasos datos sobre los resultados de esta intervenci&#243;n. Objetivo: Describir los resultados a corto y largo plazo de pacientes sometidos a TR en un centro de trauma terciario, entre los a&#241;os 2018 y 2024. M&#233;todos: Estudio retrospectivo basado en el registro de trauma del Hospital S&#243;tero del R&#237;o. Se incluyeron pacientes mayores de 15 a&#241;os que recibieron TR en el box de trauma. Se analizaron variables demogr&#225;ficas, mecanismo de lesi&#243;n, indicaci&#243;n del procedimiento, mortalidad, estancia hospitalaria y complicaciones. El an&#225;lisis estad&#237;stico incluy&#243; pruebas de Chi-cuadrado y t de Student, considerando p &lt; 0,05 como significativo. Resultados: Se identificaron 78 pacientes sometidos a TR. El 69,2% present&#243; trauma penetrante, con una supervivencia a 30 d&#237;as del 14,8%. No hubo sobrevivientes en el grupo con trauma cerrado. La indicaci&#243;n por signos de vida se asoci&#243; a una mayor supervivencia (15,3%) que la basada en tiempo de PCR (7,3%). La supervivencia global a 30 d&#237;as fue del 10,2%, y a un a&#241;o del 9%. Conclusi&#243;n: La TR puede ser una intervenci&#243;n &#250;til en pacientes seleccionados con trauma penetrante y signos de vida. En contextos con recursos limitados, se recomienda restringir su indicaci&#243;n a estos casos para optimizar los resultados. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Revista de Cirugia is the property of Sociedad de Cirujanos de Chile and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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              Text: 2026
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