Characterization of patients with severe cranioencephalic trauma at “Arnaldo Milián Castro” General Teaching Hospital
Introduction: traumatic injuries are the leading cause of death in young people, ages under 45, and brain injuries have a high incidence of death in more than half of those suffering from these injuries. Objective: to characterize patients with severe cranioencephalic trauma in the Intensive Care U...
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| Format: | Article |
| Language: | English |
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Universidad de Ciencias Médicas de Pinar del Río
2020-01-01
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| Series: | Universidad Médica Pinareña |
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| Online Access: | http://revgaleno.sld.cu/index.php/ump/article/view/376 |
| _version_ | 1797699935812976640 |
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| author | Javier Alejandro Bermúdez-Ruiz Mabel Merlán-Martínez Adrián Alejandro Vitón-Castillo José Vladimir Brunet-Liste Liz Mabel Lara-Merlán |
| author_facet | Javier Alejandro Bermúdez-Ruiz Mabel Merlán-Martínez Adrián Alejandro Vitón-Castillo José Vladimir Brunet-Liste Liz Mabel Lara-Merlán |
| author_sort | Javier Alejandro Bermúdez-Ruiz |
| collection | DOAJ |
| description | Introduction: traumatic injuries are the leading cause of death in young people, ages under 45, and brain injuries have a high incidence of death in more than half of those suffering from these injuries.
Objective: to characterize patients with severe cranioencephalic trauma in the Intensive Care Unit at Arnaldo Milián Castro General Teaching Hospital during the year 2018.
Methods: an observational, descriptive and retrospective study was conducted in 38 patients with the diagnosis of severe head trauma from January 1, 2018 to January 1, 2019. Medical records were reviewed; variables such as age, cause of trauma, type of injury, complications and hospital staying were collected.
Results: male patients predominated (92.11%), ages between 36 and 64 years (50%); 50% of traumas were due to traffic accidents. Subdural hematoma represented 52.63 % of lesions and pneumonia the most common complication (65.79 %). Patients admitted for more than 9 days predominated (44.74%); 73.68 % of patients were admitted alive; 65.79 % of patients underwent surgery. Severe cerebral edema was found among the causes of death (70%).
Conclusions: male patients after the third decade of life are prone to severe cranioencephalic trauma. Intervention on primary lesions avoids complications, where ventilation and prolonged hospital staying can trigger sepsis and act as factors affecting survival. |
| first_indexed | 2024-03-12T04:16:10Z |
| format | Article |
| id | doaj.art-84221c49b651413ab9a85d633dbebc81 |
| institution | Directory Open Access Journal |
| issn | 1990-7990 |
| language | English |
| last_indexed | 2024-03-12T04:16:10Z |
| publishDate | 2020-01-01 |
| publisher | Universidad de Ciencias Médicas de Pinar del Río |
| record_format | Article |
| series | Universidad Médica Pinareña |
| spelling | doaj.art-84221c49b651413ab9a85d633dbebc812023-09-03T10:37:33ZengUniversidad de Ciencias Médicas de Pinar del RíoUniversidad Médica Pinareña1990-79902020-01-01161e376e376376Characterization of patients with severe cranioencephalic trauma at “Arnaldo Milián Castro” General Teaching HospitalJavier Alejandro Bermúdez-Ruiz0Mabel Merlán-Martínez1Adrián Alejandro Vitón-Castillo2José Vladimir Brunet-Liste3Liz Mabel Lara-Merlán4Universidad de Ciencias Médicas de Villa Clara. Facultad de Medicina. Villa ClaraUniversidad de Ciencias Médicas de Villa Clara. Hospital Clínico Quirúrgico Docente “Arnaldo Milián Castro”. Villa ClaraUniversidad de Ciencias Médicas de Pinar del Río. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Pinar del RíoUniversidad de Ciencias Médicas de Villa Clara. Facultad de Medicina. Villa ClaraUniversidad de Ciencias Médicas de Villa Clara. Facultad de Medicina. Villa ClaraIntroduction: traumatic injuries are the leading cause of death in young people, ages under 45, and brain injuries have a high incidence of death in more than half of those suffering from these injuries. Objective: to characterize patients with severe cranioencephalic trauma in the Intensive Care Unit at Arnaldo Milián Castro General Teaching Hospital during the year 2018. Methods: an observational, descriptive and retrospective study was conducted in 38 patients with the diagnosis of severe head trauma from January 1, 2018 to January 1, 2019. Medical records were reviewed; variables such as age, cause of trauma, type of injury, complications and hospital staying were collected. Results: male patients predominated (92.11%), ages between 36 and 64 years (50%); 50% of traumas were due to traffic accidents. Subdural hematoma represented 52.63 % of lesions and pneumonia the most common complication (65.79 %). Patients admitted for more than 9 days predominated (44.74%); 73.68 % of patients were admitted alive; 65.79 % of patients underwent surgery. Severe cerebral edema was found among the causes of death (70%). Conclusions: male patients after the third decade of life are prone to severe cranioencephalic trauma. Intervention on primary lesions avoids complications, where ventilation and prolonged hospital staying can trigger sepsis and act as factors affecting survival.http://revgaleno.sld.cu/index.php/ump/article/view/376traumatismos craneocerebraleslesiones traumáticas del encéfalotraumatismos del sistema nerviosolesiones encefálicasunidades de cuidados intensivos |
| spellingShingle | Javier Alejandro Bermúdez-Ruiz Mabel Merlán-Martínez Adrián Alejandro Vitón-Castillo José Vladimir Brunet-Liste Liz Mabel Lara-Merlán Characterization of patients with severe cranioencephalic trauma at “Arnaldo Milián Castro” General Teaching Hospital Universidad Médica Pinareña traumatismos craneocerebrales lesiones traumáticas del encéfalo traumatismos del sistema nervioso lesiones encefálicas unidades de cuidados intensivos |
| title | Characterization of patients with severe cranioencephalic trauma at “Arnaldo Milián Castro” General Teaching Hospital |
| title_full | Characterization of patients with severe cranioencephalic trauma at “Arnaldo Milián Castro” General Teaching Hospital |
| title_fullStr | Characterization of patients with severe cranioencephalic trauma at “Arnaldo Milián Castro” General Teaching Hospital |
| title_full_unstemmed | Characterization of patients with severe cranioencephalic trauma at “Arnaldo Milián Castro” General Teaching Hospital |
| title_short | Characterization of patients with severe cranioencephalic trauma at “Arnaldo Milián Castro” General Teaching Hospital |
| title_sort | characterization of patients with severe cranioencephalic trauma at arnaldo milian castro general teaching hospital |
| topic | traumatismos craneocerebrales lesiones traumáticas del encéfalo traumatismos del sistema nervioso lesiones encefálicas unidades de cuidados intensivos |
| url | http://revgaleno.sld.cu/index.php/ump/article/view/376 |
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