Traumatismo craneoencefálico en la ciudad de Buenos Aires: estudio epidemiológico prospectivo de base poblacional
Head injury in Buenos Aires city: a prospective, population based, epidemiologic study
P.S. Marchio, C.E. Goldini
Área de Emergencia y Terapia Intensiva. Hospital General de Agudos J.A. Fernández. Cerviño. Buenos Aires. Argentina
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Argentina" ] ] ] 1 => array:4 [ "autoresLista" => "I.J. Previgliano, F. Murillo-Cabezas" "autores" => array:2 [ 0 => array:3 [ "nombre" => "I.J." "apellidos" => "Previgliano" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "F." "apellidos" => "Murillo-Cabezas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Terapia Intensiva. Hospital General de Agudos J.A. Fernández. Cerviño. Buenos Aires. Argentina" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicio de Cuidados Críticos y Urgencias. Hospital Universitario Virgen del Rocío. Sevilla. España" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Virrey Loreto 2676. 7°. CP 1426. Ciudad Autónoma de Buenos Aires. Argentina." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Head injury in Buenos Aires city: a prospective, population based, epidemiologic study" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-10-05" "fechaAceptado" => "2005-02-11" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159134" "palabras" => array:4 [ 0 => "Traumatismo craneoencefálico" 1 => "Epidemiología" 2 => "Incidencia" 3 => "Factores de riesgo" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec159135" "palabras" => array:5 [ 0 => "GCS" 1 => "HI" 2 => "RR" 3 => "SAME" 4 => "TCE" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159133" "palabras" => array:5 [ 0 => "Traumatic brain injury" 1 => "Head injury" 2 => "Epidemiology" 3 => "Incidence" 4 => "Risk factors" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El propósito de este trabajo es mostrar la epidemiología del traumatismo craneoencefálico (TCE) en una población de la ciudad de Buenos Aires, cuyas características socioeconómicas representan a todos los sectores de la sociedad.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo, de base poblacional, autorizado por el Comité de Ética y de Docencia e Investigación como parte de un programa integral de neurotrauma.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Tasa de incidencia de 322 TCE por 100.000 habitantes. Un 93% TCE leves; 4% TCE moderados y 3% TCE graves. El promedio de edad de las mujeres fue mayor que la de los hombres (49 vs 38 años, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). La población menor de 40 años con respecto a los mayores de 40 años presentó: un riesgo relativo (RR) 1,97 veces mayor de sufrir cualquier tipo de TCE (IC 95% 1,77 – 2,19, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). Los menores de 40 años también, mostraron un RR de 2,53 (IC 95% 2,03 – 3,17, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) para sufrir un TCE por vehículos a motor. Los conductores de auto presentaron un RR de 16,76 (IC 95% 5,35 – 52,50, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) de sufrir un accidente siendo hombre, independientemente de la edad. La agresión fue también mayor en los menores de 40 años, con un RR de 2,11 (IC 95% 1,46 – 3,03, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) que aumenta cuando se diferencia por sexos. Para las caídas de la propia altura, en cambio, el RR fue de 4,35 (IC 95% 2,61 – 4,16, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) para los mayores de 40 años y de 3,15 (IC 95% 2,57 – 3,87, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) para las mujeres independientemente de la edad. Asimismo, el RR para sufrir un atropello fue más alto para los mayores de 40 años (1,84 IC 95% 1,41 – 2,41 p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). No se encontraron otras diferencias estadísticas ni aumento del RR en los demás mecanismos de trauma.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La incidencia de TCE es elevada, con una proporción de TCC moderados y graves y tasa de mortalidad inferior a otras series. Los accidentes de tráfico continúan como primer agente causal, afectando, sobre todo, a la población joven masculina, mientras las caídas de altura y atropellos inciden en la población mayor de 40 años y sexo femenino.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The aim of the study is to present head injury (HI) epidemiology in a population of Buenos Aires that represents almost all socioeconomic sectors.</p> <span class="elsevierStyleSectionTitle">Material and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Prospective, population based study, approved by the Ethic, Education and Research Committees as part of a neurotrauma program.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">HI incidence was 322/100000 inhabitants, of them mild HI accounted for 93%, moderate HI 4% and severe HI 3%. Average age was greater in women than in men (49 vs. 38 yo, p 0,01). Taking into account population under and over 40 years we found several differences: the relative risk (RR) for any kind of Hl was 1,97 (CI 95% 1,77 – 2,19, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01, and the RR for motor vehicle (MV) related HI was 2,53 (CI 95% 2,03 – 3,17, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). Male drivers had a higher RR (16,76 CI 95% 5,35 – 52,50, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) regardless age. Assaults were also significantly higher in people under 40 yo (RR 2,11 IC 95% 1,46 – 3,03, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) increased in young males.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Self altitude falls were more frequent in population over 40 yo (RR 4,35 CI 95% 2,61 – 4,16, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) and in women at any age (RR 3,15 CI 95% 2,57 – 3,87, p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). Pedestrian accidents were also more common in population over 40 yo (RR 1,84 CI 95% 1,41–2,41 p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01).</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">We did not found any other differences concerning the remaining trauma mechanisms.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">HI incidence in Buenos Aires is similar to other printed series, but moderate and severe HI and mortality rates are below that ones. Motor vehicle accidents are the leading HI cause, especially in the young male population, while self altitude fall and pedestrian accidents are prevalent in women and people over 40 yo.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Marchio, P.S.; Previgliano, I.J.; Goldini, C.E.; Murillo- Cabezas, F.: Traumatismo craneoencefálico en la ciudad de Buenos Aires: estudio epidemiológico prospectivo de base poblacional. Neurocirugía 2006; 17: 14–22.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 1 | 0 | 1 |
| 2019 Agosto | 2 | 0 | 2 |
| 2018 Febrero | 19 | 7 | 26 |
| 2018 Enero | 26 | 41 | 67 |
| 2017 Diciembre | 27 | 22 | 49 |
| 2017 Noviembre | 47 | 29 | 76 |
| 2017 Octubre | 7 | 7 | 14 |
| 2017 Septiembre | 17 | 9 | 26 |
| 2017 Agosto | 17 | 9 | 26 |
| 2017 Julio | 23 | 4 | 27 |
| 2017 Junio | 23 | 7 | 30 |
| 2017 Mayo | 21 | 7 | 28 |
| 2017 Abril | 18 | 6 | 24 |
| 2017 Marzo | 16 | 11 | 27 |
| 2017 Febrero | 5 | 13 | 18 |
| 2017 Enero | 7 | 6 | 13 |
| 2016 Diciembre | 17 | 8 | 25 |
| 2016 Noviembre | 16 | 5 | 21 |
| 2016 Octubre | 19 | 18 | 37 |
| 2016 Septiembre | 36 | 11 | 47 |
| 2016 Agosto | 31 | 18 | 49 |
| 2016 Julio | 23 | 15 | 38 |
| 2016 Febrero | 2 | 0 | 2 |
| 2015 Diciembre | 4 | 0 | 4 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 1 | 6 | 7 |
| 2015 Junio | 10 | 7 | 17 |
| 2015 Mayo | 31 | 14 | 45 |
| 2015 Abril | 18 | 20 | 38 |
| 2015 Marzo | 17 | 8 | 25 |
| 2015 Febrero | 15 | 15 | 30 |
| 2015 Enero | 17 | 16 | 33 |
| 2014 Diciembre | 16 | 20 | 36 |
| 2014 Noviembre | 13 | 14 | 27 |
| 2014 Octubre | 17 | 25 | 42 |
| 2014 Septiembre | 21 | 16 | 37 |
| 2014 Agosto | 17 | 19 | 36 |
| 2014 Julio | 15 | 11 | 26 |
| 2014 Junio | 27 | 23 | 50 |
| 2014 Mayo | 19 | 18 | 37 |
| 2014 Abril | 14 | 14 | 28 |
| 2014 Marzo | 15 | 23 | 38 |
| 2014 Febrero | 21 | 25 | 46 |
| 2014 Enero | 17 | 26 | 43 |
| 2013 Diciembre | 15 | 21 | 36 |
| 2013 Noviembre | 20 | 33 | 53 |
| 2013 Octubre | 27 | 27 | 54 |
| 2013 Septiembre | 25 | 21 | 46 |
| 2013 Agosto | 34 | 19 | 53 |
| 2013 Julio | 25 | 24 | 49 |
| 2013 Junio | 13 | 17 | 30 |
| 2013 Mayo | 10 | 15 | 25 |
| 2013 Abril | 11 | 13 | 24 |
| 2013 Marzo | 10 | 15 | 25 |
| 2013 Febrero | 8 | 10 | 18 |
| 2013 Enero | 15 | 7 | 22 |
| 2012 Diciembre | 9 | 10 | 19 |
| 2012 Noviembre | 0 | 5 | 5 |
| 2012 Octubre | 0 | 3 | 3 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 8 | 0 | 8 |
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