TY - JOUR T1 - Characterization of 95 patients with traumatic brain injury due to gunshot wounds at a referral centre in Cali, Colombia JO - Neurocirugía (English edition) T2 - AU - Ospina-Delgado,Daniel AU - Mosquera Salas,Laura Marcela AU - Enríquez-Marulanda,Alejandro AU - Hernández-Morales,Jaime AU - Pacheco,Robinson AU - Lobato-Polo,Javier SN - 25298496 M3 - 10.1016/j.neucie.2018.07.002 DO - 10.1016/j.neucie.2018.07.002 UR - https://revistaneurocirugia.com/en-characterization-95-patients-with-traumatic-articulo-S2529849618300297 AB - ObjectiveThis study aims to describe cases of traumatic brain injury due to gunshot wounds in civilian population over 18 years of age, treated at a referral hospital in Cali, Colombia and compare the clinical outcomes at discharge. MethodsAn observational, descriptive cross-sectional study was conducted by retrospectively collecting clinical data related to adult patients that presented traumatic brain injury due to civil gunshot-wounds and that consulted to the emergency room at Fundación Valle del Lili Hospital in Cali, Colombia between January 2010 and February of 2016. A univariate analysis was performed to determine factors associated with death and adverse clinical outcomes. ResultsA total of 95 patients older than 18 years, with traumatic brain injury by gunshot were included in the civil context. The 91.6% were male. The main context was interpersonal violence with 54.7%. The most common method of transportation was by ambulance (79%). The Glasgow score at admission was 3–8 in 64.2% of cases; 9–12 in 6.32% and 13–15 in 28.4%. On admission, head CT scan was performed in 82 (86.3%) patients within the first hour, finding a Marshall-Score between I–III in 60.9%, of IV in 17.8% of cases and a score between V–VI and in 4.1%. The trajectory was non-transfixing penetrating in 43.2%, transfixing in 27.3% and tangential in 9.5%. Mortality was 45.3% in total, 39% died within the first 24h. ConclusionsA major compromise on admission determines an overall poorer prognosis and a high likelihood of death in the first 24-h. ER -