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ISSN 1729-6935 (Electronic)
16 de abril

2016, Number 261

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16 de abril 2016; 55 (261)

Alteraciones clinicas y humorales como factores pronostico en pacientes con traumatismo craneoencefalico grave

Rosabal RDD, González AJC

Language: Spanish
References: 10
Page: 1-10
PDF size: 122.78 Kb.


ABSTRACT

Introduction: Severe head injuries is the result of the abrupt appearance on the head of a physical force of such a magnitude that provokes lesions in the hairy leather, skull, meninges and knitted brain. Objective: To determine the value presage of the clinical and humoral alterations in patient with severe head injuries. Methodological design: An observational, analytic of cohorts study in the Unit of Intensive Cares of the ''Carlos Manuel de Céspedes'' Hospital of Bayamo, Granma in the period of January 1 of 2007 at December 31 of 2011 was carried out. A universe of 100 patients was selected. An univariado analysis with each one of the variables estimating the relative risk of dying (RR) and their interval of trust to 95% (IC 95%) was carried out. The multivariate strategy was applied based on the adjustment of a model of logistical regression with all the variables. Results: The statistical multivariate analysis demonstrated that the hypoxemia (adjusted OR 2.3; IC 95% 2.5-208,6) and the scale of coma of Glasgow (adjusted OR 4,9; IC 95% 1,7-118) had a significant relationship with the death. The masculine patients older than 55 years without antecedents of alcoholism neither smoking habit were those that most often died as consequence of a severe head injuries. Conclusions: Of the clinical and humoral variables studied, only the hypoxemia and the scale of coma of Glasgow had value to predict the presage of patient with severe head injuries.


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