Ortega ZJM, Lomillos PN, Choque CB, Tamarit DM, Poveda NP, López SMR, López RAB

Language: Spanish
References: 18
Page: 15-24
PDF size: 425.66 Kb.

ABSTRACT

Objective: To describe a wide range of adult patients, older than 14 years old, who suffer from traumatic head injury (THI) attended at the University Hospital of Getafe, between the years 2010 and 2015 (n = 2480), to study the clinical-epidemiological profile and analyze the diagnosis and treatment carried out, as well as establish the main prognostic factors influencing the final result.
Methods: A retrospective study was performed on the review of clinical histories. Bivariate and multivariate statistical study was applied.
Results: The mild THI is more common in males, and the most common causative mechanism in our midst is the traffic accident. Following the classification scheme that divides the patients according to risk factors were obtained: 1546 patients of low risk (62.3 %), 830 of intermediate risk (33.5 %) and 104 patients of high risk (4.2 %). Patients with medical histories are more likely to develop intracranial complications, especially if there are changes in coagulation and a history of chronic alcoholism (p <0.001). Patients with focality in neurological exploration are more likely to develop intracranial complications, and worse final prognosis (p <0.001). Simple skull radiology is related to evolution (P <0.01). Of the patients with normal radiography, 5 died (0.3 %); With a simple fracture, 3 died (6 %); and with a collapsed fracture, 1 died (8.3 %).
Conclusions: Neurological focality in clinical examination, age, coagulation alterations and fracture in the simple radiograph are related with greater possibility of developing traumatic intracranial injuries and with worse final prognosis. The Glasgow scale for coma is deficit in determining the final outcome of the patient suffering from THI, because it does not consider variables such as amnesia or loss of consciousness, very common in mild THI.

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