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Academia Mexicana de Neurología, A.C.

2015, Number 5

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Rev Mex Neuroci 2015; 16 (5)

Incidence of brain death in patients with severe head injury: A study in the General Hospital “Dr. Miguel Silva”

Castellanos-Acuña AJ, Leal-Cantú R, Andrade-Chávez VR, González-García CL

Language: Spanish
References: 12
Page: 29-38
PDF size: 176.32 Kb.


ABSTRACT

Objective: To analyze the frequency, distribution and impact of severe head injury treated at the General Hospital “Dr. Miguel Silva “.
Hypothesis: Approximately 5% of patients admitted to the General Hospital “Dr. Miguel Silva” with severe head injury evolve to brain death regardless of therapeutic conduct.
Methods: Prospective, observational, descriptive study in the period comprised from January to July 2014. Patients entering the critical services of the General Hospital “Dr. Miguel Silva” diagnosed with severe traumatic brain injury were included with a lower APACHE 25. Patients without informed consent and those aged younger than 16 and older than 90 years were excluded.
Results: In all, 9 of 30 patients progressed to brain death with an incidence of 4 for every 1,000 patients. A total of 29 men (97%) and 1 woman (3%) were included. The patients had a 15% higher risk of death at admission with respect to the general population. The total length of hospital stay patients was 278 days.
Conclusion: 30% of patients admitted to the General Hospital with a diagnosis of TBI evolved to brain death more frequently than expected, especially in young adult males.


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