Bibliographic citations
Espinoza, R., Saire, M. (2023). Relación entre la condición de ingreso y el pronóstico a los seis meses en pacientes con traumatismo cráneo encefálico en el Hospital Regional del Cusco en el 2022 [Universidad Andina del Cusco]. https://hdl.handle.net/20.500.12557/5989
Espinoza, R., Saire, M. Relación entre la condición de ingreso y el pronóstico a los seis meses en pacientes con traumatismo cráneo encefálico en el Hospital Regional del Cusco en el 2022 []. PE: Universidad Andina del Cusco; 2023. https://hdl.handle.net/20.500.12557/5989
@misc{renati/1127473,
title = "Relación entre la condición de ingreso y el pronóstico a los seis meses en pacientes con traumatismo cráneo encefálico en el Hospital Regional del Cusco en el 2022",
author = "Saire Cuba, Marily Vicentina",
publisher = "Universidad Andina del Cusco",
year = "2023"
}
Objective: Determine the relationship between the admission condition and the sixmonth prognosis in patients with head trauma at the Regional Hospital of Cusco in 2022. Methodology: Cross-sectional study carried out at the Regional Hospital of Cusco during 2022. The total population was 96 patients, of which 93 patients with head trauma participated who met the inclusion criteria such as: being over 18 years of age, having a diagnosis of TBI. mild, moderate or severe; 3 were excluded due to incomplete data. The RR was calculated by obtaining crude and adjusted RRs for the statistically significant variables. Results: of 93 patients studied, 81% of the patients were male, with an average age of 46 years. In physiological factors, we found that respiratory rate had a median of 20 with an IQR of 4. Median blood pressure was 85.33 with an IQR of 23.33. In oxygen saturation, a median of 90 was obtained, with an IQR of 6. In the general Glasgow score, a median of 13 was obtained, with an IQR of 5. In the laboratory factors, we found that the median time of Prothrombin is 14.5 with an IQR of 2.2. For the INR, we found that the median was 1.18, with an IQR of 0.24. In glycemia, the median was 119, with an IQR of 48. Finally, sodium, with a median of 137.5 and an IQR of 10.5. In the tomographic factors, we found that patients could have more than one alteration, such as skull fracture + subarachnoid hemorrhage + midline deviation. We observed that 23% had a skull base fracture, 12.5% had subarachnoid hemorrhage, 6% had intraparenchymal hemorrhage, 25% had epidural hemorrhage, 25% had subdural hemorrhage, and 23% had midline deviation. We also observed that the median number of hours elapsed before PCOS was 22.75 hours and an IQR of 30.25. Furthermore, we observed that 40% of patients received surgical treatment. Conclusions: There is a relationship between physiological factors (Glasgow, oxygen saturation, mean arterial pressure, heart rate, respiratory rate), demographic factors (age, sex, area of origin), time of admission to the operating room and prognosis at six months in patients with traumatic brain injury at the Regional Hospital of Cusco in 2022. There is no relationship between laboratory and tomographic factors with the prognosis at six months in patients with traumatic brain injury at the Regional Hospital of Cusco in 2022, in the present study.
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