medigraphic.com
ISSN 1608-8921 (Print)

2012, Number 2

<< Back Next >>

Gaceta Médica Espirituana 2012; 14 (2)

Behaviour of the severe cranioencephalic trauma in adults in Granma

Piña TAA, Lemes BJJ

Language: Spanish
References: 17
Page: 96-103
PDF size: 258.22 Kb.


ABSTRACT

Background: The serious cranioencephalic trauma is the main cause of death related to polytrauma inability and severe inability with devastating consequences mainly in the first four decades of life. Objective: To describe the behavior of the serious cranioencephalic trauma in adult patients. Methodology: A descriptive study was carried out in admitted patients with serious cranioencephalic trauma at Carlos Manuel de Céspedes General Hospital in the service of neurosurgery, Bayamo town, Granma province, from January 1st 2009 to December 31st 2010. Descriptive statistics methods were applied. Results: More than 56 % of the patients were over 45 years old, 83,4 % belong to masculine sex and 59,.1 % of injured were of urban origin. The most frequent trauma mechanism was the traffic accidents with a 51,5 % and the type of trauma which prevailed was closed with an 86,4 %. 57,6 % had complications and almost half of the patients needed surgery, 22,7 % of the patients passed away. Conclusions: The serious cranioencephalic trauma prevails in patients over 45 years old, masculine and of urban origin with closed trauma in patients victims of traffic accidents. All patients who passed away had any complication during the evolution.


REFERENCES

  1. Anuario Estadístico de Salud. La Habana: DNE/MINSAP; 2010.

  2. Prieto R, Gutiérrez-González P, Pascual JM, Roda JM, Cerdán S, Matias-Guiu J, et. al. Modelos experimentales de traumatismo craneoencefálico. Neurocirugía. 2009; 20 (3).

  3. Alted López E, Bermejo Aznárez S, Chico Fernández M. Actualizaciones en el manejo del traumatismo craneoencefálico grave. Med. Intensiva. 2009; 33 (1).

  4. Pérez- Alea M, Flores-Cordero JM, Rincón-Ferrari MD, García Gómez S, Sánchez-Olmedo JI, Murillo-Cabezas F, et al. Valoración del eje hipotálamo-hipofisario en la fase precoz del traumatismo craneoencefálico grave. Med Intensiva. 2008; 32(9):411-8.

  5. Mínguez Platero J, García-Bermejo P, Ruiz López JL, Millán Soria J. Manejo del trauma grave en la Comunidad Valenciana. Emergencias. 2007; 19(4): 195-200.

  6. Domínguez Peña R. Morbilidad y mortalidad en pacientes con traumatismo craneoencefálico grave. IX Congreso Cubano de Neurocirugía. [monografía en DVD]. Camagüey, Julio 2008.

  7. García Gómez A, González Corrales Ll, Gutiérrez Gutiérrez L, Trujillo Machado V, López González JC. Caracterización del traumatismo craneo-encefálico grave. Rev Cub Med Mil. 2009; 38: 3-4.

  8. Domínguez Peña R, Hodelín Tablada R, Fernández Aparicio M A. Factores pronósticos en el traumatismo craneoencefálico grave. MEDICIEGO 2010; 16(Supl. 1)[en línea] Disponible en http://bvs.sld.cu/revistas/mciego/ vol16_supl1_10/pdf/t22.pdf [Consultado 26 Oct 2010]

  9. Rosso A, Brazinova A, Janciak I, Wilbacher I, Rusnak M, Mauritz W. Severe traumatic brain injury in Austria II: Epidemiology of hospital admissions. Medicine. 2007; 119(1-2):29-34. Disponible en: https://springerlink3.metapress.com/secure-login/

  10. Corrigan JD, Selassie AW, Orman JA. The epidemiology of traumatic brain injury. J Head Trauma Rehabil. 2010; 25:72–80.

  11. Mosquera Betancourt G, Capote Fradera A. Factores pronósticos del trauma craneoencefálico en el adulto mayor. MEDICIEGO 2010; 16(Supl. 1)[en línea] Disponible en http://bvs.sld.cu/revistas/mciego/ vol16_supl1_10/pdf/t22.pdf [Consultado 26 Oct 2010]

  12. Mosquera Betancourt G, Vega Basulto S, Valdeblanquez Atencio J. Traumatismo craneoencefálico en el adulto mayor. [en línea]. AMC. 2008; 12 (6). Disponible en http://scielo.sld.cu/pdf/amc/v12n6/amc11608.pdf [Consultado 1 Nov 2010]

  13. DuBose JJ, Browder T, Inaba K, Teixeira PG, Chan LS, Demetriades D. Effect of trauma center designation on outcome in patients with severe traumatic brain injury. Arch Surg. 2008; 143(12):1213-7.

  14. Ndiave A, Chambost M, Chiron M. The fatal injuries of car drivers. Forensic Sci Int. 2009; 184(1-3):21-7.

  15. Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. Lancet Neurol. 2008; 7(8):728-41.

  16. Park HK, Joo WI, Chough CK, Cho CB, Lee KJ, Rha HK. The clinical efficacy of repeat brain computed tomography in patients with traumatic intracranial haemorrhage within 24 hours after blunt head injury. Br J Neurosurg. 2009; 23(6):617-21.

  17. arcía Gómez A, Pérez García AR, Gutiérrez Gutiérrez L, León Robles M, Santamaría Fuentes SJ, Bestard Pavón LA. Comportamiento de factores pronósticos clínicos y demográficos relacionados con el traumatismo craneoencefálico. Rev Cub Med Mil. 2010; 39 (2).




2020     |     www.medigraphic.com