Risk Factors Associated with Mortality among Patients with Acute Head Trauma

Revista Cubana de Anestesiología y Reanimación

Mayda Correa Borrell¹  Maylin Norma Montes Morales¹  Karell Piñón García¹  José Antonio Pozo Romero¹  Yudelky Almeida Esquivel¹ 

[1] Hospital Universitario Manuel Ascunce Domenech, Camagüey;

关键词: traumatismo craneoencefálico;    tratamiento quirúrgico;    complicaciones;    escala de coma de glasgow;   

DOI  :  

来源: DOAJ

【 摘 要 】

Introduction: Cranioencephalic trauma corresponds to changes and alterations suffered by the brain, its meningeal envelopes, the cranial vault, or the epicranial soft tissues due to the action of damaging physical agents.

Objective: To identify modifiable and nonmodifiable risk factors that determine mortality in the immediate postoperative period among patients with acute head trauma.

Methods: A prospective and longitudinal descriptive study was carried out with a sample of 38 patients who received surgery for head trauma, treated at Manuel Ascunce Domenech University Hospital, from 2016 to 2019. We worked with the following variables: age, sex, physical state, classification of cranioencephalic trauma, immediate complications, and mortality in the immediate postoperative period.

Results: Surgical head trauma was frequent among young male patients who were evaluated as ASA-III. Patients with mild trauma, according to the Glasgow scale, predominated. Despite not having a significant association with mortality, cerebral edema, hyperglycemia and hypothermia were the most frequently found complications.

Conclusions: Surgical head trauma was more frequent among young patients. Despite the complications presented, most of them left the emergency service alive.

【 授权许可】

Unknown