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Gaceta Médica Espirituana

On-line version ISSN 1608-8921

Abstract

BETHARTE SOTOMAYOR, Yanmara; PEREZ ROJAS, Yulismaira; MOSQUERA BETANCOURT, Gretel  and  TELLEZ ISLA, Rogers. Assessment of patients with brain contusions in Camagüey. Gac Méd Espirit [online]. 2021, vol.23, n.2, pp. 6-17.  Epub Aug 02, 2021. ISSN 1608-8921.

Background:

Cranioencephalic trauma is the first cause of death in patients under 40 years of age and affects the working population with subsequent economic repercussions and disabling implications.

Objective:

To assess the patient’s individualities with brain contusions using the Marshall and Rotterdam scales.

Methodology:

A descriptive study was conducted in adults with brain contusions treated at Manuel Ascunce University Hospital of Camagüey from 2016 to 2019. The sample was constituted by 74 patients who underwent a clinical and imaging evaluation using the Marshall and Rotterdam scales which allowed medical or surgical therapy. Statistical data were calculated with the SSPS package to determine absolute and relative frequencies.

Results:

Male patients predominated (86.4 %) in the 18 and 39-year age group, where 40.5 % of the sample was located. 28.3 % had no injuries. The 28.3 % had no associated injuries. 43.2 % had a Marshall II grading and 35.1 % a Rotterdam 1, medical treatment was applied to 62.1 %, 43.2 % had no complications, 24.3 % required assisted mechanical ventilation.

Conclusions:

Brain contusions prevailed in young adults with Marshall II and III, in the Rotterdam the injured obtained up to 3 points on the scale. Most of them did not require surgical treatment or assisted mechanical ventilation and there were no complications.

Keywords : Brain injuries traumatic; brain injuries; brain contusions; Marshall scale; Rotterdam scale.

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