<?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>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922021000300014</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922021000300014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Epidemiología del trauma de miembro superior atendido en seis instituciones de salud de la ciudad de Medellín, Colombia, en 2016]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiology of upper limb trauma presenting to six health institutions in Medellín, Colombia, in 2016]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bitar Benítez]]></surname>
<given-names><![CDATA[Elsy Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaviria Posada]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Fernández]]></surname>
<given-names><![CDATA[Nathalia de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallego Gónima]]></surname>
<given-names><![CDATA[Sabrina]]></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[,Universidad de los Andes  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia Facultad de Medicina Instituto Nacional de Cancerología]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>47</volume>
<numero>3</numero>
<fpage>323</fpage>
<lpage>332</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922021000300014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922021000300014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922021000300014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. El trauma de miembro superior representa entre el 10% al 40% de las consultas a urgencias en Norteamérica y Europa, causando discapacidad temporal o definitiva importante. En una búsqueda en la literatura regional en Medellín, Colombia, no encontramos datos epidemiológicos al respecto. El objetivo de este estudio es describir las características epidemiológicas del trauma de miembro superior en 6 instituciones de salud locales durante 1 año.  Material y método. Estudio retrospectivo, multicéntrico, en el que revisamos las bases de datos de 6 instituciones de salud de referencia de la ciudad de Medellín (Colombia) de pacientes adultos atendidos en urgencias entre enero y diciembre de 2016, cuyo diagnóstico de egreso incluyera códigos relacionados con trauma de miembro superior, así como edad, género, causa, tipo de trauma y segmento afectado. Describimos las características demográficas y clínicas de los pacientes del estudio para toda la muestra y por instituciones y realizamos un análisis exploratorio cualitativo para identificar diferencias entre las variables demográficas y clínicas.  Resultados. Identificamos 259.163 consultas por todas las causas y 25.646 consultas por trauma de miembro superior (9.89%). La mayoría fueron varones (70.74%) menores de 40 años (66.4%). Los tipos de trauma más frecuentes fueron heridas y contusiones (68.1%), seguidas de fracturas (17.1%). El trauma con mayor frecuencia se presentó en mano y dedos (31%) causado por accidentes laborales (33%).  Conclusiones. El trauma del miembro superior representa una causa importante de morbilidad en nuestro medio que concuerda con los datos reportados previamente. Recomendamos llevar a cabo estudios analíticos que evalúen el impacto a largo plazo de este tipo de trauma en la región.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. Upper limb trauma accounts for 10% to 40% of emergency department visits in North America and Europe and can cause significant temporary or permanent disability. After searching the local literature, the authors did not find any studies regarding the epidemiological data of upper limb trauma in regional literature in Medellín, Colombia. The objective of this study was to describe the epidemiological characteristics of upper limb trauma in 6 local health care institutions during a 1-year period.  Methods. Retrospective, multicenter study, the institutional databases of all adult patients presenting to the emergency departments of 6 reference institutions in Medellín, Colombia, from January to December 2016 with any codes for upper extremity trauma were analyzed. Variables such as: national identity number, gender, age, code of the International Classification of Diseases and the insurance company were identified. Analysis of the demographic and clinical characteristics of the study patients was performed for the entire sample and by institutions, and a qualitative exploratory analysis was performed to identify differences between demographic and clinical variables.  Results. There were 259.163 consultations found for all causes and 25.646 consultations for upper limb trauma (9.89%); 66.4% were in the group of 18 to 39 years and 70.74% were men. The most frequent types of trauma were wounds and contusions (68.1%), followed by fractures (17.1%). Trauma most frequently occurred in the hand (including the fingers) (31%) and due to work-related accidents (33%).  Conclusions. Upper limb trauma represents a major cause of morbidity in our local institutions. The results of this study are consistent with previously published papers. Analytical studies are required to evaluate the long-term impact of this type of trauma in the region.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Traumatismos mano]]></kwd>
<kwd lng="es"><![CDATA[Traumatismo miembro superior]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología]]></kwd>
<kwd lng="en"><![CDATA[Hand Injuries]]></kwd>
<kwd lng="en"><![CDATA[Upper extremity trauma]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Richards]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Garvert]]></surname>
<given-names><![CDATA[DW]]></given-names>
</name>
<name>
<surname><![CDATA[McDade]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chronic Psychological and Functional Sequelae After Emergent Hand Surgery]]></article-title>
<source><![CDATA[J. Hand Surg. Am]]></source>
<year>2011</year>
<volume>36</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1663-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Lopera]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Traumatismos de los Tejidos Blandos del Miembro Superior]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Kurzer-Schall]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugía Plástica]]></source>
<year>1997</year>
<page-range>102-47</page-range><publisher-loc><![CDATA[Medellín ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Prasad]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bhamidi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rajeswaran]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[y col. Epidemiology and Sequelae of Workplace Hand Injuries at a Tertiary Trauma Care Centre]]></article-title>
<source><![CDATA[Surg. Sci]]></source>
<year>2008</year>
<volume>5</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>150-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Restrepo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Traumas Osteoarticulares de la Mano]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Kurzer-Schall]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugía Plástica]]></source>
<year>1997</year>
<page-range>148-77</page-range><publisher-loc><![CDATA[Medellín ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chukwu-Lobelu]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Whitaker]]></surname>
<given-names><![CDATA[IS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary Assessment of Hand Injuries in The United Kingdom]]></article-title>
<source><![CDATA[Plast. Reconstr. Surg]]></source>
<year>2004</year>
<volume>114</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>273-4</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gallego]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trauma de Mano]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Morales-Uribe]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Trauma]]></source>
<year>2015</year>
<edition>2</edition>
<page-range>721-36</page-range><publisher-loc><![CDATA[Medellín ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="">
<collab>DANE</collab>
<source><![CDATA[Censo Nacional de Población y Vivienda 2018]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Colombia ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gideon]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adult Development]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Loue]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sajatovic]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Encyclopedia of Aging and Public Health]]></source>
<year>2007</year>
<page-range>90-1</page-range><publisher-loc><![CDATA[Cleveland- Ohio ]]></publisher-loc>
<publisher-name><![CDATA[Springer]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<collab>World Health Organization. WHO</collab>
<source><![CDATA[International Classification of Diseases]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="">
<collab>Departamento Nacional de Planeación</collab>
<source><![CDATA[Seguridad Social Integral - Sistema de Seguridad Social en Colombia (Ley 100 de 1993)]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<collab>Ministerio de Salud y Protección Social</collab>
<article-title xml:lang=""><![CDATA[Aseguramiento al Sistema General de Seguridad Social en Salud]]></article-title>
<source><![CDATA[Imprenta Nacional de Colombia]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Bogotá D.C, Colombia ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arroyave]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La Organización de la Salud en Colombia]]></article-title>
<source><![CDATA[Medellín, Hospital Universitario San Vicente de Paúl - Periódico El Pulso]]></source>
<year>2009</year>
<page-range>227-522</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ootes]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Lambers]]></surname>
<given-names><![CDATA[KT]]></given-names>
</name>
<name>
<surname><![CDATA[Ring]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Epidemiology of Upper Extremity Injuries Presenting to the Emergency Department in the United States]]></article-title>
<source><![CDATA[Hand]]></source>
<year>2012</year>
<page-range>18-22</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hacikerim-Kar&#351;&#305;da&#287;]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Özkaya]]></surname>
<given-names><![CDATA[Ö]]></given-names>
</name>
<name>
<surname><![CDATA[U&#287;urlu]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[y col. The Practice of Plastic Surgery in Emergency Trauma Surgery: a Retrospective Glance at 10.732 Patients]]></article-title>
<source><![CDATA[Turkish J. Trauma Emerg. Surg]]></source>
<year>2011</year>
<volume>17</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>33-40</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grivna]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Eid]]></surname>
<given-names><![CDATA[HO]]></given-names>
</name>
<name>
<surname><![CDATA[Abu-Zidan]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiology of isolated hand injuries in the United Arab Emirates]]></article-title>
<source><![CDATA[World J. Orthop]]></source>
<year>2016</year>
<volume>7</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>570-6</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González-Legarda]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<source><![CDATA[Incidencia y Manejo del Trauma de Mano Atendido por el Departamento de Cirugía Plástica de la Clínica Juan N. Corpas]]></source>
<year>2005</year>
<page-range>1-49</page-range><publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Fundación Universitaria Juan N. Corpas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Giraldo- Arango]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Et al. Etiología del Trauma de Extremidades en Pacientes que Consultaron al Hospital Infantil Rafael Henao Toro de Manizalez del 1 de Septiembre/2004 a 30 Marzo/2005]]></article-title>
<source><![CDATA[Arch. Med. Manizales]]></source>
<year>2005</year>
<volume>7</volume>
<numero>14</numero>
<issue>14</issue>
<page-range>51-62</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Del Gordo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Meza]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cuao]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trauma de Extremidades en la Ciudad de Santa Marta]]></article-title>
<source><![CDATA[Rev. la Fac. Ciencias Salud]]></source>
<year>2005</year>
<volume>2</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>102-8</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Merle]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bilan lésionnel et strategie]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Merle]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Dautel]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[La Main Traumatique: L'urgence]]></source>
<year>1997</year>
<edition>2</edition>
<page-range>29-34</page-range><publisher-loc><![CDATA[Paris ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier Masson]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
