<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2021000600937</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Patrones hemodinámicos cerebrales en pacientes con trauma craneoencefálico y su relación con la mortalidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Cerebral hemodynamic patterns in patients with head trauma and their relationship with mortality]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Prieto]]></surname>
<given-names><![CDATA[David Wilfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ghaddar Fuentes]]></surname>
<given-names><![CDATA[Nabil]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Pedraza]]></surname>
<given-names><![CDATA[Leyla Aurora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez García]]></surname>
<given-names><![CDATA[Lis Marlyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Céspedes Cárdenas]]></surname>
<given-names><![CDATA[Jarvis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Arnaldo Milián Castro  ]]></institution>
<addr-line><![CDATA[Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>6</numero>
<fpage>937</fpage>
<lpage>947</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2021000600937&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2021000600937&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2021000600937&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  la mortalidad por traumatismo craneoencefálico grave es elevada y se debe a los disturbios hemodinámicos intracraneales que este provoca.  Objetivo: determinar los patrones de flujo sanguíneo cerebral en el paciente con traumatismo craneoencefálico y su relación con la mortalidad.  Métodos: estudio descriptivo, transversal realizado en las Unidades de Atención al Grave del Hospital Clínico-Quirúrgico Arnaldo Milían Castro, de Santa Clara, provincia Villa Clara, desde el año 2004 al 2007 y del 2018 al 2020. El ultrasonido Doppler transcraneal se le realizó a 82 pacientes, en las primeras 24 horas del ingreso, posterior a la estabilidad hemodinámica y respiratoria. Se determinaron las variables escala de coma de Glasgow, patrones de flujo sanguíneo cerebral y la mortalidad. La información fue procesada mediante el programa estadísticos SPSS/PC versión 15 para Windows, se aplicó un procesamiento estadístico con análisis univariado.  Resultados: se estudiaron 82 pacientes, con una letalidad del 37,8 % del total; la mayor letalidad ocurrió entre los pacientes mayores de 65 años(60 %)(p=0,01). La escala de coma de Glasgow de 8 o menos puntos incluyó a 67 pacientes, con mortalidad del 43 % (p=0.00). El patrón isquémico cerebral fue el más diagnosticado (43,9 %) con una mortalidad del 74 %(p=0.03).  Conclusiones: el patrón de flujo sanguíneo isquémico es el más frecuente y tiene una significativa relación con la mortalidad. La escala de coma de Glasgow tiene una relación significativa con la mortalidad del paciente con traumatismo craneoencefálico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: mortality from severe head trauma is high and is due to the intracranial hemodynamic disorders that it causes.  Objective:  to determine the patterns of cerebral blood flow in the patient with head trauma and its relationship with mortality.  Methods:  descriptive, cross-sectional study carried out in the Arnaldo Milían Castro Clinical-Surgical Hospital Serious Care Units, Santa Clara, Villa Clara province, from 2004 to 2007 and from 2018 to 2020. The transcranial Doppler ultrasound was performed in 82 patients, in the first 24 hours after admission, after hemodynamic and respiratory stability. The Glasgow coma scale variables, cerebral blood flow patterns and mortality were determined. The information was processed using the statistical program SPSS / PC version 15 for Windows, statistical processing with univariate analysis was applied.  Results:  82 patients were studied, with mortality of 37.8% of the total; the highest fatality occurred among patients older than 65 years (60%) (p = 0.01). The Glasgow coma scale of 8 or less points included 67 patients, with a mortality of 43% (p = 0.00). The cerebral ischemic pattern was the most diagnosed (43.9%) with a mortality of 74% (p = 0.03).  Conclusions:  the ischemic blood flow pattern is the most frequent and has a significant relationship with mortality. The Glasgow coma scale has a significant relationship with the mortality of patients with head trauma.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[lesiones traumáticas del encéfalo]]></kwd>
<kwd lng="es"><![CDATA[escala de coma de Glasgow, mortalidad]]></kwd>
<kwd lng="en"><![CDATA[brain injuries, traumatic]]></kwd>
<kwd lng="en"><![CDATA[Glasgow coma scale]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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