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ISSN 1028-4818 (Electronic)

2012, Number 3

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Mul Med 2012; 16 (3)

Prognostic value of clinical, humoral and tomographic abnormalities in patients with severe traumatic brain injury

Martínez ML, González AJC, Fonseca MJC

Language: Spanish
References: 12
Page:
PDF size: 145.87 Kb.


ABSTRACT

It was performed an observational, analytical, cohort study with the aim of identifying the prognostic value of the clinical, humoral and tomographic abnormalities in patients with severe craniocerebral trauma (SCCT). There were selected 100 patients admitted to the Intensive Care Unit (ICU) at "Carlos Manuel de Céspedes" General University Hospital in Bayamo, Granma, Cuba, since January 1rst, 2007 to December 31rst, 2011 and they had Glasgow Coma Scale (GCS) under 8 points. The variables studied were: age, sex, toxic habits (alcohol and tobacco), comorbidity, associated trauma, the temperature, the value of leukocytes, mean blood pressure (MBP), the ECG, nosocomial infection, hemoglobin values and tomographic findings (displacement of the midline) and signs of brain herniation. The prognostic variable was the death in the ICU. The multivariate statistical analysis through logistic regression showed that hypoxemia (OR set 23; 95% CI 2, 5-208, 6), the Glasgow Coma Scale (OR adjusted 4.9; 95% CI 1, 7-11, 8), the displacement of the middle line (set OR 2, 4-68, 9 and signs of brain herniation (6.7 set OR 95% CI 6-70, 1, 1) had a significant relationship with death, favouring its prognostic value.


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