Risk Factors Associated with Mortality among Patients with Acute Head Trauma

Authors

Keywords:

cranioencephalic trauma, surgical management, complications, Glasgow Coma Scale

Abstract

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.

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Author Biographies

Karell Piñón García, Hospital Universitario Manuel Ascunce Domenech, Camagüey

Especialista de Primer Grado en Anestesiología y Reanimación. Profesor Asistente.Diplomado en Medicina Intensiva y Emergencia

Maylin Norma Montes Morales, Hospital Universitario Manuel Ascunce Domenech, Camagüey

Especialista de Primer Grado en Anestesiología y Reanimación.

Mayda Correa Borrell, Hospital Universitario Manuel Ascunce Domenech, Camagüey

Especialista de 2do Grado en Anestesiología y Reanimación. Máster en Urgencias Médicas. Investigadora Auxiliar. Profesor Auxiliar y Consultante.

José Antonio Pozo Romero, Hospital Universitario Manuel Ascunce Domenech, Camagüey

Especialista de 2do Grado en Anestesiología y Reanimación. Máster en Urgencias Médicas. Profesor Asistente.

Yudelky Almeida Esquivel, Hospital Universitario Manuel Ascunce Domenech, Camagüey

Especialista de Primer Grado en Anatomía Patológica. Profesor Instructor.

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Published

2020-03-02

How to Cite

1.
Piñón García K, Montes Morales MN, Correa Borrell M, Pozo Romero JA, Almeida Esquivel Y. Risk Factors Associated with Mortality among Patients with Acute Head Trauma. Rev Cub Anest Rean [Internet]. 2020 Mar. 2 [cited 2024 Dec. 22];19(3). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/625

Issue

Vol. 19 No. 3 (2020): September - December (in progress)

Section

Original articles

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