array:22 [
  "pii" => "S1130147399707736"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(99)70773-6"
  "estado" => "S300"
  "fechaPublicacion" => "1999-01-01"
  "aid" => "70773"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "1999"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 1999;10:345-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1450
    "formatos" => array:3 [
      "EPUB" => 18
      "HTML" => 679
      "PDF" => 753
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147399707748"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(99)70774-8"
    "estado" => "S300"
    "fechaPublicacion" => "1999-01-01"
    "aid" => "70774"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 1999;10:350-7"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2806
      "formatos" => array:3 [
        "EPUB" => 18
        "HTML" => 1099
        "PDF" => 1689
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Tratamiento con radiocirugía estereotáxica del glioma cerebral primario de alto grado"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "350"
          "paginaFinal" => "357"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Stereotactic radiosurgery in primary high grade malignat glioma"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "D. Ortiz de Urbina, M. Santos, J. Samblás, J.M. Delgado, J.C. Bustos, J.A. Gutiérrez-Díaz, I. García-Berrocal, S. Rodríguez, M.C. Rubio, G. Donckaster, F. Sansivirini, F.A. Calvo"
          "autores" => array:12 [
            0 => array:2 [
              "nombre" => "D."
              "apellidos" => "Ortiz de Urbina"
            ]
            1 => array:2 [
              "nombre" => "M."
              "apellidos" => "Santos"
            ]
            2 => array:2 [
              "nombre" => "J."
              "apellidos" => "Samblás"
            ]
            3 => array:2 [
              "nombre" => "J.M."
              "apellidos" => "Delgado"
            ]
            4 => array:2 [
              "nombre" => "J.C."
              "apellidos" => "Bustos"
            ]
            5 => array:2 [
              "nombre" => "J.A."
              "apellidos" => "Gutiérrez-Díaz"
            ]
            6 => array:2 [
              "nombre" => "I."
              "apellidos" => "García-Berrocal"
            ]
            7 => array:2 [
              "nombre" => "S."
              "apellidos" => "Rodríguez"
            ]
            8 => array:2 [
              "nombre" => "M.C."
              "apellidos" => "Rubio"
            ]
            9 => array:2 [
              "nombre" => "G."
              "apellidos" => "Donckaster"
            ]
            10 => array:2 [
              "nombre" => "F."
              "apellidos" => "Sansivirini"
            ]
            11 => array:2 [
              "nombre" => "F.A."
              "apellidos" => "Calvo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399707748?idApp=UINPBA00004B"
    "url" => "/11301473/0000001000000005/v1_201305151016/S1130147399707748/v1_201305151016/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Doentes com traumatismo crânio-encefálico em coma operados. Factores de morbilidade e mortalidade"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "345"
        "paginaFinal" => "349"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "J.L. Reís, C. Pinheiro, V. Martins, E. Carvalho"
        "autores" => array:4 [
          0 => array:2 [
            "nombre" => "J.L."
            "apellidos" => "Reís"
          ]
          1 => array:2 [
            "nombre" => "C."
            "apellidos" => "Pinheiro"
          ]
          2 => array:2 [
            "nombre" => "V."
            "apellidos" => "Martins"
          ]
          3 => array:2 [
            "nombre" => "E."
            "apellidos" => "Carvalho"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Serviço de Neurocirugia. Hospital Geral Santo António. Porto. Portugal"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Surgically treated severe head injury patients. Factors influencing morbility and mortality"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras chave"
          "identificador" => "xpalclavsec156762"
          "palabras" => array:4 [
            0 => "Traumatismo crânio-encefálico grave"
            1 => "Coma"
            2 => "Tratamento cirúrgico"
            3 => "Prognóstico"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec156763"
          "palabras" => array:4 [
            0 => "Severe head injury"
            1 => "Coma"
            2 => "Surgical treatment"
            3 => "Outcome"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">O objectivo deste trabalho foi avaliar&#44; retrospectivamente&#44; a import&#226;ncia dos v&#225;rios factores de progn&#243;stico nos doentes traumatizados operados em coma no nosso Servif&#59;&#59;o em 1996 &#40;32 doentes&#41; e em 1986 &#40;32 doentes&#41;&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Regist&#225;mos&#58; idade&#44; sexo&#44; grau na Escala de Coma de Glasgow &#40;E&#46;C&#46;G&#46;&#41;&#44; reflexos fotomotores&#59; intervalo de instala&#231;ao coma&#47;cirurgia&#44; imagem na T&#46;A&#46;C&#46;&#44; valores de press&#227;o intracraniana e de press&#227;o de perfus&#227;o cerebral e as complica&#231;&#245;es no p&#243;s operat&#243;rio&#46; Avali&#225;mos a impot&#226;ncia de cada um destes factores na &#8220;Glasgow Outcome Scale&#8221; aos 6 meses ap&#243;s o traumatismo&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Como factor de por pognostico somentiteve compara&#231;&#227;o estatistica &#40;teste qui-cuadrado p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41; um menor grau na resposta motora na E&#46;C&#46;G&#46; no grupo de 1996&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Na decis&#227;o cir&#250;rgica devem considerar-se os v&#225;rios factores cl&#237;nicos e imagiol&#243;gicos&#46; N&#227;o podemos deixar de intervir baseados apenas num factor de mau progn&#243;stico&#46;</p>"
      ]
      "en" => array:1 [
        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The purpose of this retrospectiv&#46;e study was to analyze the factors influencing the outcome of patients with a severe head injury undergoing surgery in our center&#46; Thirty-two patients were identified in 1996 and 1986&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The following information was recorded for each patient&#58; age&#44; sex&#44; Glasgow Coma Scale &#40;G&#46;C&#46;S&#46;&#41; score&#44; interval between the first observation of coma and surgery&#44; CT scan findings&#44; intracranial pressure and cerebral perfusion pressure and the postoperative complications&#46; Outcome was determined independently from assessements made at 6 months after head injury and classified according to the Glasgow Outcome Scale&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In the group of 1996&#44; patients with lower motor response in G&#46;C&#46;S&#46; had a worse prognosis &#40;chi-square test&#44; p<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In the operative treatment we must consider several clinical and CT features&#46; There is no sufficient evidence to say that any particular sign provides reliable information for withdrawal of surgical treatment&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Reis&#44; J&#46;L&#46;&#59; Pinheiro&#44; C&#46;&#59; Martins&#44; V&#46;&#59; Carvalho&#44; E&#46;&#58; Doentes com traumatismo cranio-encef&#225;lico em coma operados&#46; Factores de morbilidade e mortalidade&#46; Neurocirug&#237;a 1999&#59; 10&#58; 345&#8211;349&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:15 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Contant&#44; C&#46;F&#46;&#44; Narayan&#44; R&#46;K&#58; Prognosis After Head Injury&#46; In Youmans&#44; eds&#46; Neurological Surgery&#44; 1996&#59; 1792&#8211;1811&#46;"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The prognostic value of computerized tomography in comatose headinjured patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46;J&#46; Dongen"
                            1 => "R&#46; Braakman"
                            2 => "G&#46;J&#46; Gelpke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1983.59.6.0951"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1983"
                        "volumen" => "59"
                        "paginaInicial" => "951"
                        "paginaFinal" => "957"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6631517"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46;A&#46; Glantz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "In primer of biostatistics"
                        "fecha" => "1987"
                        "paginaInicial" => "64"
                        "paginaFinal" => "96"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of traumatic subaracnoid hemorrhage on outcome in nonpenetrating head injury"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "K&#46;A&#46; Greene"
                            1 => "F&#46;F&#46; Marciano"
                            2 => "B&#46;A&#46; Johnson"
                            3 => "R&#46; Jacobowitz"
                            4 => "R&#46;F&#46; Spetzler"
                            5 => "T&#46;R&#46; Harrington"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1995.83.3.0445"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1995"
                        "volumen" => "83"
                        "paginaInicial" => "445"
                        "paginaFinal" => "452"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7666221"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgically treated traumatic subdural hematomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46;G&#46; Jamieson"
                            1 => "J&#46;D&#46;N&#46; Yelland"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1972.37.2.0137"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1972"
                        "volumen" => "37"
                        "paginaInicial" => "137"
                        "paginaFinal" => "149"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5046082"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessment of outcome after severe brain damage&#46; A practical scale"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B&#46; Jennet"
                            1 => "M&#46; Bond"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1975"
                        "volumen" => "1"
                        "paginaInicial" => "480"
                        "paginaFinal" => "484"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2893908"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Severe head injuries in three countries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B&#46; Jennet"
                            1 => "G&#46; Teasdale"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Neurology&#46; Neurosurgery and Psychiatry"
                        "fecha" => "1977"
                        "volumen" => "40"
                        "paginaInicial" => "291"
                        "paginaFinal" => "298"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute epidural hematoma&#58; an analysis of factores influencing the outcome of patients undergoing surgery in coma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46;D&#46; Lobato"
                            1 => "J&#46;J&#46; Rivas"
                            2 => "F&#46; Cordob&#233;s"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1988.68.1.0048"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1988"
                        "volumen" => "68"
                        "paginaInicial" => "48"
                        "paginaFinal" => "57"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3335912"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Brain shift&#44; level of consciousness&#44; and restoration of consciousness in patients with acute intracranial hematoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;A&#46; Ross"
                            1 => "W&#46;L&#46; Olsen"
                            2 => "A&#46;M&#46; Ross"
                            3 => "B&#46;T&#46; Andrews"
                            4 => "L&#46;B&#46; Pitts"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1989.71.4.0498"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1989"
                        "volumen" => "71"
                        "paginaInicial" => "498"
                        "paginaFinal" => "502"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2795168"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "One-year outcome following craniotomy for traumatic hematoma in patients with fixed dilated pupils"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;E&#46; Sakas"
                            1 => "Bullock"
                            2 => "G&#46;M&#46; Teasdale"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1995.82.6.0961"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1995"
                        "volumen" => "82"
                        "paginaInicial" => "961"
                        "paginaFinal" => "965"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7760198"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of intracranial pressure monitoring and aggresive treatment on mortality in severe head injury"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;G&#46; Saul"
                            1 => "T&#46;B&#46; Ducker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1982.56.4.0498"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1982"
                        "volumen" => "56"
                        "paginaInicial" => "498"
                        "paginaFinal" => "503"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6801218"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Traumatic acute subdural hematoma&#46; Major mortality reduction in comatose patients treated within 4 hours"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;M&#46; Seelig"
                            1 => "D&#46;P&#46; Becker"
                            2 => "J&#46;D&#46; Miller"
                            3 => "R&#46;P&#46; Greenberg"
                            4 => "J&#46;D&#46; Ward"
                            5 => "S&#46;C&#46; Choi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJM198106183042503"
                      "Revista" => array:6 [
                        "tituloSerie" => "N&#46; Engl&#46; J&#46; Med&#46;"
                        "fecha" => "1981"
                        "volumen" => "304"
                        "paginaInicial" => "1511"
                        "paginaFinal" => "1518"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7231489"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Teasdale&#44; G&#46;&#44; Mathew&#58; Mechanisms of Cerebral Concussion&#44; Contusion&#44; and Other Effects of Head Injury&#46; In Youmans&#44; eds&#46; Neurological Surgery&#46; 1996&#59; 1&#46;533&#8211;1&#46;547&#46;"
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Classification and regression trees for prediction of function at 1 year following head trauma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "N&#46;R&#46; Temkin"
                            1 => "R&#46; Bolubkov"
                            2 => "J&#46;E&#46; Machamer"
                            3 => "H&#46;R&#46; Winn"
                            4 => "S&#46;S&#46; Dikmen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1995.82.5.0764"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1995"
                        "volumen" => "82"
                        "paginaInicial" => "764"
                        "paginaFinal" => "771"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7714600"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute subdural hematoma&#58; morbidity&#44; mortality&#44; and operative timingo J"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;E&#46; Wilberger Jr&#46;"
                            1 => "M&#46; Harris"
                            2 => "D&#46;L&#46; Diamond"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurosurg&#46;"
                        "fecha" => "1991"
                        "volumen" => "74"
                        "paginaInicial" => "212"
                        "paginaFinal" => "218"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/11301473/0000001000000005/v1_201305151016/S1130147399707736/v1_201305151016/es/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001000000005/v1_201305151016/S1130147399707736/v1_201305151016/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399707736?idApp=UINPBA00004B"
]
Compartir
Información de la revista
Vol. 10. Núm. 5.
Páginas 345-349 (enero 1998)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 10. Núm. 5.
Páginas 345-349 (enero 1998)
Doentes com traumatismo crânio-encefálico em coma operados. Factores de morbilidade e mortalidade
Surgically treated severe head injury patients. Factors influencing morbility and mortality
Visitas
1434
J.L. Reís, C. Pinheiro, V. Martins, E. Carvalho
Serviço de Neurocirugia. Hospital Geral Santo António. Porto. Portugal
Este artículo ha recibido
Información del artículo

O objectivo deste trabalho foi avaliar, retrospectivamente, a importância dos vários factores de prognóstico nos doentes traumatizados operados em coma no nosso Servif;;o em 1996 (32 doentes) e em 1986 (32 doentes).

Registámos: idade, sexo, grau na Escala de Coma de Glasgow (E.C.G.), reflexos fotomotores; intervalo de instalaçao coma/cirurgia, imagem na T.A.C., valores de pressão intracraniana e de pressão de perfusão cerebral e as complicações no pós operatório. Avaliámos a impotância de cada um destes factores na “Glasgow Outcome Scale” aos 6 meses após o traumatismo.

Como factor de por pognostico somentiteve comparação estatistica (teste qui-cuadrado p<0.05) um menor grau na resposta motora na E.C.G. no grupo de 1996.

Na decisão cirúrgica devem considerar-se os vários factores clínicos e imagiológicos. Não podemos deixar de intervir baseados apenas num factor de mau prognóstico.

Palavras chave:
Traumatismo crânio-encefálico grave
Coma
Tratamento cirúrgico
Prognóstico

The purpose of this retrospectiv.e study was to analyze the factors influencing the outcome of patients with a severe head injury undergoing surgery in our center. Thirty-two patients were identified in 1996 and 1986.

The following information was recorded for each patient: age, sex, Glasgow Coma Scale (G.C.S.) score, interval between the first observation of coma and surgery, CT scan findings, intracranial pressure and cerebral perfusion pressure and the postoperative complications. Outcome was determined independently from assessements made at 6 months after head injury and classified according to the Glasgow Outcome Scale.

In the group of 1996, patients with lower motor response in G.C.S. had a worse prognosis (chi-square test, p>0.05).

In the operative treatment we must consider several clinical and CT features. There is no sufficient evidence to say that any particular sign provides reliable information for withdrawal of surgical treatment.

Key words:
Severe head injury
Coma
Surgical treatment
Outcome

Artículo

Opciones para acceder a los textos completos de la publicación Neurocirugía
Socio
Socio de la Sociedad Española de Neurocirugía

Si es la primera vez que accede a la web puede obtener sus claves de acceso poniéndose en contacto con Elsevier España en suscripciones@elsevier.com o a través de su teléfono de Atención al Cliente 902 88 87 40 si llama desde territorio español o del +34 932 418 800 (de 9 a 18h., GMT + 1) si lo hace desde el extranjero.

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".

Suscriptor
Suscriptor de la revista

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".
Suscribirse
Suscribirse a:

Neurocirugía

Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 19,34 €

Comprar ahora
Contactar
Teléfono para suscripciones e incidencias
De lunes a viernes de 9h a 18h (GMT+1) excepto los meses de julio y agosto que será de 9 a 15h
Llamadas desde España
932 415 960
Llamadas desde fuera de España
+34 932 415 960
Email
Idiomas
Neurocirugía
Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?