Abstract

GARCIA GOMEZ, Alberto et al. Behavior of clinical and demographic factors related to cranioencephalic trauma. Rev Cub Med Mil [online]. 2010, vol.39, n.2, pp.95-103. ISSN 0138-6557.

OBJECTIVE: to determine the behaviour of clinical and demographic prognostic factors in patients presenting with cranioencephalic trauma. METHODS: a observational study was performed in patients diagnosed with cranioencephalic trauma in the Intensive Care Unit (ICU) of "Dr. Carlos J. Finlay" Central Military Hospital during one year. The Glasgow's evolutionary scale was used. Case series included 35 patients. RESULTS: the 85,7% corresponded to male sex and it had a poor course (relative risk > 1, 88 % sensitivity, 50 % specificity); the 71.4 % aged 16 and 45, the 5.71 evolved to vegetative state, the 14.3 % showed a severe inability, and the 5.71 % concluded with a moderate inability. The relative risk was over 1 in the arterial hypotension, the lowest scoring of 8 points in Glasgow's coma scale at admission and the presence of juxta-dural hematoma with cerebral contusions or not and hemorrhagic foci; sensitivity and specificity values were significant in these variables. CONCLUSIONS: most of the patients corresponded to male sex aged 16 and 45. Factors related to a poor course at discharge included: arterial hypotension, scoring under 8 points at admission in Glasgow's coma scale, presence of some type of juxta-dural hematoma. Almost all patients had 8 points or less in above mentioned scale and none had a scoring of 5 in the Glasgow's evolutionary scale.

Keywords : Cranioencephalic trauma; prognosis; coma's scale.

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