masterThesis
Trauma craneoencefálico severo en la UCIP del Hospital de la Misericordia, 2010-2013
Fecha
2016Autor
Páez Gaitán, Hernán Felipe
Institución
Resumen
The Traumatic Brain Injury (TBI) in infants is a common reason for consultation in the ER and is the leading cause of death in children, becoming up to 50% in severe trauma. In Colombia data of TBI are known for some descriptive studies, but there are no reports in
Bogota and specifically in severe TBI. Objective: To characterize severe traumatic brain injury in the pediatric intensive care unit of the Hospital La Misericordia between 2010 and 2013. Materials and methods: A descriptive, retrospective study was conducted at the Hospital La Misericordia by reviewing the medical records of patients admitted to the Pediatric Intensive Care Unit with a diagnosis of severe traumatic brain injury between 2010 and 2013. Results: We included 63 patients (71.4% male) with a median age of 4 years (IQR 2-8). Most traumas were caused by fall or traffic accident (79.4%). The primary lesion was fractured skull (79%). Almost half of the patients had some type of neurologic sequelae at discharge (47.1%). Most patients who died (19%) had hypovolemic shock (83.3%) and had associated trauma (66.7%). Conclusion: The characteristics and epidemiology of traumatic brain injury in our population show clear similarities with those reported in other series of world literature and Colombia, except for mortality, expected higher by studying only patients with severe head injury.