Resultados y factores pronósticos del traumatismo craneoencefálico severo en la edad pediátrica
J. Esparza, F. Cordobes, J.M. Portillo, J.A. Yuste, M. Castañeda, E. Lamas
Neurocirugía y Anestesia Pediátricas. Hospital Infantil «12 de Octubre». Facultad de Medicina. Universidad Complutense. Madrid
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Castaño Duque, E. Rubio García, P. Nogues Bara" "autores" => array:3 [ 0 => array:2 [ "nombre" => "C.H." "apellidos" => "Castaño Duque" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Rubio García" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Nogues Bara" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147390711992?idApp=UINPBA00004B" "url" => "/11301473/0000000100000003/v1_201305150956/S1130147390711992/v1_201305150956/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Resultados y factores pronósticos del traumatismo craneoencefálico severo en la edad pediátrica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "145" "paginaFinal" => "152" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Esparza, F. Cordobes, J.M. Portillo, J.A. Yuste, M. Castañeda, E. Lamas" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Esparza" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Cordobes" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Portillo" ] 3 => array:2 [ "nombre" => "J.A." "apellidos" => "Yuste" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Castañeda" ] 5 => array:2 [ "nombre" => "E." "apellidos" => "Lamas" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Neurocirugía y Anestesia Pediátricas. Hospital Infantil «12 de Octubre». Facultad de Medicina. Universidad Complutense. Madrid" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156533" "palabras" => array:5 [ 0 => "Trauma craneal" 1 => "Edad pediátrica" 2 => "PIC" 3 => "TAC" 4 => "Pronóstico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156534" "palabras" => array:5 [ 0 => "Head Trauma" 1 => "Children" 2 => "ICP" 3 => "CT-Scan" 4 => "Outcome" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos una serie de 112 niños (edad media 7,6 años), con traumatismo craneoencefálico (TCE), y que ingresaron en el hospital con puntuación en la Escala de Glasgow (EG) inferior a 8. Todos ellos fueron tratados en base a un protocolo de tipo «agresivo», con monitorización continua de la presión intracraneal (PIC). Se han analizado fundamentalmente el tipo de lesión en la Tomografía Axial Computarizada (TAC), los rangos de PIC, la edad, y la severidad del TCE según la EG.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Las lesiones cerebrales postraumáticas focales, tal como se vieron en la TAC, representaron un 39,3 % y tuvieron peor pronóstico que las difusas (60,7 %). El tipo de lesión denominado «Diffuse Brain Swelling» fue el de mejor pronóstico y el más frecuente, mientras que los hematomas extracerebrales con lesión asociada fueron los de peor evolución. La hipertensión intracraneal (48,2 % de los casos) fue un índice de muy mal pronóstico, sobre todo en niveles superiores a 40<span class="elsevierStyleHsp" style=""></span>mmHg. La edad inferior a 5 años comportó un mal pronóstico, y el 40 % de los casos con baja puntuación al ingreso en la EG se recuperó, por lo que su valor como factor pronóstico fue discutible. La mortalidad global de la serie (32 %) es similar a la de la mayoría de los autores con series homologables.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We present a series of 112 severe head injury children (mean age 7,6 years)), that were managed according to an «agressive» protocol with monitoring of ICP. The type of lesion, age, ICP an Glasgow coma score were specially analyzed.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Postraumatic focal brain lesions as seen on CT-scan (39,3 %) had a worse outcome than diffuse brain damage (60,7 %). Diffuse Brain Swelling was the most frequent lesion and children with this type of injury had a good outcome. Patientswith extracerebral hematomas and associated lesions had a poor prognosis. Increased intracranial pressure was found in 48,2 % of the cases and sustained severe intracranial hypertension was an index of poor outcome. There was also a higher mortality among the infants, mostly in those with low level of conscioussnes. Forty per cent of children with low GCS score at admission recovered. Thus, it seems that CGS is not an absolute prediction factor in this analysis. Global mortality rate was 32 % in this series, a number similar to others reported in the neurosurgical literature.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Esparza, J.; Cordobés, P.; Portillo, J. M.; Yuste, J. A.; Castañeda, M.; Lamas, E.: Resultados y factores pronósticos del traumatismo craneoencefálico severo en la edad pediátrica. Neurocirugía 1990; 1:145–152.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:49 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diffuse axonal injury due to nonmissile head injury in humans: an analysis of 45 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.H. Adams" 1 => "D.I. Graham" 2 => "L.S. Murray" 3 => "G. Scott" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Aun Neurol" "fecha" => "1982" "volumen" => "12" "paginaInicial" => "557" "paginaFinal" => "563" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Outcome after severe head injury. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 1 | 3 |
| 2019 Septiembre | 1 | 0 | 1 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 14 | 11 | 25 |
| 2018 Enero | 12 | 9 | 21 |
| 2017 Diciembre | 10 | 20 | 30 |
| 2017 Noviembre | 44 | 24 | 68 |
| 2017 Octubre | 8 | 19 | 27 |
| 2017 Septiembre | 12 | 33 | 45 |
| 2017 Agosto | 8 | 31 | 39 |
| 2017 Julio | 9 | 15 | 24 |
| 2017 Junio | 19 | 23 | 42 |
| 2017 Mayo | 18 | 18 | 36 |
| 2017 Abril | 14 | 12 | 26 |
| 2017 Marzo | 5 | 56 | 61 |
| 2017 Febrero | 2 | 20 | 22 |
| 2017 Enero | 15 | 20 | 35 |
| 2016 Diciembre | 47 | 21 | 68 |
| 2016 Noviembre | 33 | 30 | 63 |
| 2016 Octubre | 43 | 26 | 69 |
| 2016 Septiembre | 46 | 39 | 85 |
| 2016 Agosto | 55 | 39 | 94 |
| 2016 Julio | 34 | 33 | 67 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Marzo | 2 | 0 | 2 |
| 2016 Febrero | 2 | 0 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 1 | 8 | 9 |
| 2015 Junio | 8 | 31 | 39 |
| 2015 Mayo | 17 | 39 | 56 |
| 2015 Abril | 14 | 29 | 43 |
| 2015 Marzo | 19 | 30 | 49 |
| 2015 Febrero | 15 | 26 | 41 |
| 2015 Enero | 8 | 28 | 36 |
| 2014 Diciembre | 12 | 24 | 36 |
| 2014 Noviembre | 8 | 23 | 31 |
| 2014 Octubre | 15 | 37 | 52 |
| 2014 Septiembre | 17 | 37 | 54 |
| 2014 Agosto | 15 | 35 | 50 |
| 2014 Julio | 12 | 20 | 32 |
| 2014 Junio | 15 | 32 | 47 |
| 2014 Mayo | 15 | 23 | 38 |
| 2014 Abril | 13 | 37 | 50 |
| 2014 Marzo | 13 | 28 | 41 |
| 2014 Febrero | 14 | 35 | 49 |
| 2014 Enero | 10 | 30 | 40 |
| 2013 Diciembre | 17 | 31 | 48 |
| 2013 Noviembre | 19 | 14 | 33 |
| 2013 Octubre | 26 | 29 | 55 |
| 2013 Septiembre | 21 | 26 | 47 |
| 2013 Agosto | 35 | 36 | 71 |
| 2013 Julio | 25 | 25 | 50 |
| 2013 Junio | 26 | 29 | 55 |
| 2013 Mayo | 27 | 34 | 61 |
| 2013 Abril | 29 | 37 | 66 |
| 2013 Marzo | 25 | 51 | 76 |
| 2013 Febrero | 18 | 21 | 39 |
| 2013 Enero | 16 | 13 | 29 |
| 2012 Diciembre | 11 | 15 | 26 |
| 2012 Noviembre | 1 | 12 | 13 |
| 2012 Octubre | 0 | 2 | 2 |
| 2012 Septiembre | 0 | 1 | 1 |
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