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2003, Number 3

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Med Crit 2003; 17 (3)

Treatment of closed severe head trauma in children. Case/control study of 20 patients

Gómez RN, Molina MFA, Fabelo MS, Feria GJJ, Vázquez PE, Lizárraga CMA, Pozo CT

Language: Spanish
References: 33
Page: 98-103
PDF size: 77.57 Kb.


ABSTRACT

Introduction: The severe closed cranial trauma is cause of a high rate of morbility with prolonged hospital stays. Therapeutic procedures have changed in the last years.
Setting: Emergency Department of a pediatric hospital, Hermosillo, México.
Design: Retrospective study.
Material and methods: The objective of this study is to evaluate the effectiveness of two different therapeutic procedures. We revised 153 clinical records with the diagnosis of severe closed cranial trauma selecting 10 patients for control group and 10 for study group. Mortality, time of correction of B/P, days of hospital stay, alterations in serum sodium and glucose were registered.
Results: The mortality rate was similar (P = 0.58). The time of correction of B/P did not showed significant differences (P = 0.12). Levels of blood glucose were higher in control group. (P = 0.01). Hospital stay and assisted mechanical ventilation were higher in control group (P = 0.001).
Conclusions: The therapeutic guide employed in the study group showed better results.


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