Prognosis in Traumatic Brain Injury
Objective To characterize the profile of TBI victims who required neurosurgical approach in two reference hospitals in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, and to identify the prognostic increase in the Pupil Reactivity Score when subtracted from the Glasgow Coma...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-06-01
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| Series: | Brazilian Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742299 |
| _version_ | 1818532860010692608 |
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| author | Bruna Eduarda Civeira de Azevedo Igor Kunze Rodrigues Pedro Paulo Marchesi Mello Marcos Rodrigo Pereira Eismann Daniel Santos Sousa |
| author_facet | Bruna Eduarda Civeira de Azevedo Igor Kunze Rodrigues Pedro Paulo Marchesi Mello Marcos Rodrigo Pereira Eismann Daniel Santos Sousa |
| author_sort | Bruna Eduarda Civeira de Azevedo |
| collection | DOAJ |
| description | Objective To characterize the profile of TBI victims who required neurosurgical approach in two reference hospitals in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, and to identify the prognostic increase in the Pupil Reactivity Score when subtracted from the Glasgow Coma Score, found in the Glasgow-P. Additionally, to present demographic, etiological, clinical, and tomographic data, and associate them with the outcome of death.
Methods Medical record data and computed tomography (CT) scans of patients with TBI undergoing neurosurgical procedures from January 2014 to April 2019, at 2 reference hospitals in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil – Hospital Regional de São José Dr. Homero de Miranda Gomes (HRSJ-HMG, in the Portuguese acronym) and Hospital Governador Celso Ramos (HGCR, in the Portuguese acronym).
Results The results of the 318 cases studied indicated that the male gender predominated (87.7%). The most affected age group was between 35 and 65 years old (47.5%). The main cause was motorcycle accidents (26.1%), followed by a fall from a height (16.4%). Most patients required admission to the intensive care unit (ICU) (85.8%), with an average duration of 13 days. The average total hospital stay was 28 days. Most cases needed external ventricular drain (EVD) (64.8%). The predominant tomographic classification was Marshall II (43.4%), followed by Marshall IV (26.1%). Most patients presented with extra-axial hematoma (64.2%), with subdural hematoma (SDH) being the most frequent (45%). Most patients presented with sequelae at hospital discharge (43.4%).
Conclusion There was no clinically relevant increase between the Glasgow and Glasgow-P scores for the tested outcomes (need for decompressive craniectomy, midline shift, presence of basal cisterns obliteration, need for ICU admission, and death). |
| first_indexed | 2024-12-11T17:51:02Z |
| format | Article |
| id | doaj.art-9d21fdbffb454e08ac2ba555499f1355 |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-12-11T17:51:02Z |
| publishDate | 2022-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-9d21fdbffb454e08ac2ba555499f13552022-12-22T00:56:13ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222022-06-014102e108e13610.1055/s-0042-1742299Prognosis in Traumatic Brain InjuryBruna Eduarda Civeira de Azevedo0Igor Kunze Rodrigues1Pedro Paulo Marchesi Mello2Marcos Rodrigo Pereira Eismann3Daniel Santos Sousa4Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC, BrazilDepartment of Neurosurgery, Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, SC, BrazilDepartment of Neurosurgery, Hospital Regional de São José Dr. Homero de Miranda Gomes, São José, SC, BrazilDepartment of Neurosurgery, Hospital Governador Celso Ramos, Florianópolis, SC, BrazilDepartment of Neurosurgery, Hospital Governador Celso Ramos, Florianópolis, SC, BrazilObjective To characterize the profile of TBI victims who required neurosurgical approach in two reference hospitals in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, and to identify the prognostic increase in the Pupil Reactivity Score when subtracted from the Glasgow Coma Score, found in the Glasgow-P. Additionally, to present demographic, etiological, clinical, and tomographic data, and associate them with the outcome of death. Methods Medical record data and computed tomography (CT) scans of patients with TBI undergoing neurosurgical procedures from January 2014 to April 2019, at 2 reference hospitals in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil – Hospital Regional de São José Dr. Homero de Miranda Gomes (HRSJ-HMG, in the Portuguese acronym) and Hospital Governador Celso Ramos (HGCR, in the Portuguese acronym). Results The results of the 318 cases studied indicated that the male gender predominated (87.7%). The most affected age group was between 35 and 65 years old (47.5%). The main cause was motorcycle accidents (26.1%), followed by a fall from a height (16.4%). Most patients required admission to the intensive care unit (ICU) (85.8%), with an average duration of 13 days. The average total hospital stay was 28 days. Most cases needed external ventricular drain (EVD) (64.8%). The predominant tomographic classification was Marshall II (43.4%), followed by Marshall IV (26.1%). Most patients presented with extra-axial hematoma (64.2%), with subdural hematoma (SDH) being the most frequent (45%). Most patients presented with sequelae at hospital discharge (43.4%). Conclusion There was no clinically relevant increase between the Glasgow and Glasgow-P scores for the tested outcomes (need for decompressive craniectomy, midline shift, presence of basal cisterns obliteration, need for ICU admission, and death).http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742299traumatic brain injuryneurosurgeryprognosisprevention and controlepidemiology |
| spellingShingle | Bruna Eduarda Civeira de Azevedo Igor Kunze Rodrigues Pedro Paulo Marchesi Mello Marcos Rodrigo Pereira Eismann Daniel Santos Sousa Prognosis in Traumatic Brain Injury Brazilian Neurosurgery traumatic brain injury neurosurgery prognosis prevention and control epidemiology |
| title | Prognosis in Traumatic Brain Injury |
| title_full | Prognosis in Traumatic Brain Injury |
| title_fullStr | Prognosis in Traumatic Brain Injury |
| title_full_unstemmed | Prognosis in Traumatic Brain Injury |
| title_short | Prognosis in Traumatic Brain Injury |
| title_sort | prognosis in traumatic brain injury |
| topic | traumatic brain injury neurosurgery prognosis prevention and control epidemiology |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742299 |
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