Resumen

SERGIO DIEGO, Vega Basulto; SILVA ADAN, Sergio; PENONES MONTEJO, Rigoberto  y  VARELA HERNANDEZ, Ariel. Neurotrauma en Camagüey. Rev Cubana Cir [online]. 2003, vol.42, n.3. ISSN 0034-7493.

It is said that Cuban neurosurgery considers as its fundamental role the management of patients with brain traumas. This paper presents the management of patients with brain trauma in "Manuel Ascunce Domenech" hospital and describes the general results achieved so far. From January 1996 to January 2000, a total number of 1 646 patients were admitted to the hospital with a Glasgow Coma Scale score of 14 or less. Since October 1995, this hospital has a Special Multiple Trauma Care Unit installed. This ward accommodated 1 630 patients (99%) with brain trauma. Sixteen patients were not admitted to this ward because they died at once in the emergency service room or in the surgery room. Mortality rate from serious brain trauma decreased from 56 to 38%. There were 1 226 patients (74%) with moderate and minor brain traumas. Mortality rate from moderate brain trauma reduced from 12 to 4% and mortality from minor lesions lowered from 3 to 2%. 97% of serious brain trauma cases received neurointensive and aggressive therapy. Head injures were a frequent cause of death and disability in young persons. The integration of all the health levels, the adequate organization of services, the dynamic treatment protocols, neurointensive care, neuromonitoring and early and aggressive surgical management play an essential role in the improvement of the results

Palabras clave : CRANIOCEREBRAL TRAUMA [diagnóstico]; CRANIOCEREBRAL CEREBRAL TRAUMA [mortality]; CRANIOCEREBRAL TRAUMA [surgery]; INTENSIVE CARE; CUBA.