Trauma craneal grave. Base datos Hospital 12 de Octubre. I Descripción base datos. Evolución final
Severe head injury. Hospital 12 de Octubre data base. Description of the data and analysis of the final outcome
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Sahuquillo" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Sahuquillo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014739970792X?idApp=UINPBA00004B" "url" => "/11301473/0000001000000004/v1_201305151014/S113014739970792X/v1_201305151014/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Trauma craneal grave. Base datos Hospital 12 de Octubre. I Descripción base datos. Evolución final" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "297" "paginaFinal" => "308" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "P.A. Gómez, R.D. Lobato, P. González, G.R. Boto, A. de la Lama" "autores" => array:5 [ 0 => array:2 [ "nombre" => "P.A." "apellidos" => "Gómez" ] 1 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "González" ] 3 => array:2 [ "nombre" => "G.R." "apellidos" => "Boto" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "de la Lama" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital 12 de Octubre. Madrid" ] ] ] 1 => array:3 [ "autoresLista" => "E.J. de la Cruz" "autores" => array:1 [ 0 => array:3 [ "nombre" => "E.J." "apellidos" => "de la Cruz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Epidemiología Clínica. Hospital 12 de Octubre. Madrid" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Severe head injury. Hospital 12 de Octubre data base. Description of the data and analysis of the final outcome" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156740" "palabras" => array:5 [ 0 => "Trauma craneal grave" 1 => "Base datos" 2 => "Evolución final" 3 => "Escala de Coma de Glasgow" 4 => "Tomografía computerizada" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156741" "palabras" => array:5 [ 0 => "Severe head injury" 1 => "Data bank" 2 => "Outcome" 3 => "Glasgow Coma Scale" 4 => "Computerized tomography" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Creación de una base de datos de pacientes que han sufrido un traumatismo craneal grave (TCEG), que permita realizar una adecuada evaluación clínico-radiológica, identificar factores pronósticos y establecer las bases para futuros ensayos clínicos.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se incluyen 810 pacientes con TCEG, ingresados consecutivamente en Hospital 12 de Octubre, entre 1987 y 1992. Unicamente se excluyeron pacientes menores de 15 años y aquellos con herida por arma de fuego o con grave inestabilidad hemodinámica a los que no se pudo realizar TC antes del fallecimiento. Se eligió para la evaluación clínica inicial la mejor puntuación en la Escala de Coma de Glasgow (ECG). Se definen las distintas variables demográficas, clínicas, radiológicas y de monitorización, correlacionándose éstas con la evolución final. Comparamos nuestros resultados con otras series actuales de manejo del TCEG.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La mortalidad global fue del 49,5%, siendo ésta más frecuente en pacientes que sufrieron caída (62,5 %), pacientes con una puntuación en la Escala de Coma de Glasgow tras resucitación de 3 (93%) ó 4 (73 %), midriasis bilateral (94,8 %), TC al ingreso Tipo IV (85,4%) o Tipo VI (100%) de la clasificación del “Traumatic Coma Data Bank” (TCDB) y en pacientes en los que se evacuó un hematoma subdural (66,6%).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Una base de datos de pacientes con TCEG, recogida de forma “estandarizada”, con variables claramente definidas, con un número amplio de casos, ofrece la posibilidad de mejorar el conocimiento de esta patología. Al comparar la evolución final en series con un elevado número de casos, se ha encontrado que existe una gran variabilidad, dependiendo ésta fundamentalmente de las características y definición de las variables empleadas para describir la población incluida en el estudio.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To create a Data Base of patients with severe head injury (SHI), that allows an appropiate clinical and radiological evaluation, the definition of prognostic factors and setting the basis for prospective clinical trials.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">810 patients with SHI consecutively admited to the Hospital “12 de Octubre”, between 1987 and 1992 were included. Patients under 15 years of age and those with gunshot wounds or severe hemodynamic unstability, precIuding CT scan examination before death, were excIuded. The most relevant clinical and radiological characteristics were sharply defined, and correlated with the final outcome. Our results are compared with other large series of SHI reported in the literature.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Overall mortality rate was 49,5%. Fatal outcome was more frequent in patients suffering falls (62,5% mortality), patients with a GCS score of 3 (93 %), or 4 (73 %), patients with bilateral abnormal pupils after resuscitation (94,8 %), patients showing midline shift in the initial CT scan (85,4%) or non-evacuated mass (100%) and in patients operated for a subdural hematoma.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A properly collected data base with sharply defined variables and an appropriate number of cases may improve our understanding of the clinical profile and the physiopathology of SHI. When comparing large series of SHI, we found marked differences in the final outcome, which seem to be due to the great variability in inclusion criteria and thus the profile of the population of patients included in those studies.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gómez, P.A.; Lobato, R.D.; Oonzález, P.; Boto, O.R.; Lama, A. de la; Cruz, F.J. de la: Trauma craneal grave. Base datos Hospital 12 de Octubre I. Descripción base datos. Evolución final. Neurocirugía 1999; 10: 297–308.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "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 | 5 | 1 | 6 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 14 | 11 | 25 |
| 2018 Enero | 14 | 8 | 22 |
| 2017 Diciembre | 16 | 11 | 27 |
| 2017 Noviembre | 37 | 33 | 70 |
| 2017 Octubre | 12 | 12 | 24 |
| 2017 Septiembre | 14 | 7 | 21 |
| 2017 Agosto | 18 | 11 | 29 |
| 2017 Julio | 21 | 10 | 31 |
| 2017 Junio | 29 | 10 | 39 |
| 2017 Mayo | 20 | 13 | 33 |
| 2017 Abril | 12 | 10 | 22 |
| 2017 Marzo | 17 | 43 | 60 |
| 2017 Febrero | 4 | 6 | 10 |
| 2017 Enero | 21 | 11 | 32 |
| 2016 Diciembre | 63 | 8 | 71 |
| 2016 Noviembre | 59 | 19 | 78 |
| 2016 Octubre | 53 | 18 | 71 |
| 2016 Septiembre | 62 | 15 | 77 |
| 2016 Agosto | 64 | 15 | 79 |
| 2016 Julio | 37 | 19 | 56 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 0 | 7 | 7 |
| 2015 Junio | 15 | 16 | 31 |
| 2015 Mayo | 17 | 22 | 39 |
| 2015 Abril | 18 | 12 | 30 |
| 2015 Marzo | 13 | 17 | 30 |
| 2015 Febrero | 10 | 14 | 24 |
| 2015 Enero | 15 | 15 | 30 |
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| 2014 Noviembre | 17 | 22 | 39 |
| 2014 Octubre | 22 | 22 | 44 |
| 2014 Septiembre | 14 | 29 | 43 |
| 2014 Agosto | 18 | 30 | 48 |
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| 2014 Junio | 15 | 23 | 38 |
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| 2014 Abril | 14 | 19 | 33 |
| 2014 Marzo | 15 | 31 | 46 |
| 2014 Febrero | 15 | 24 | 39 |
| 2014 Enero | 18 | 24 | 42 |
| 2013 Diciembre | 14 | 13 | 27 |
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| 2013 Octubre | 18 | 15 | 33 |
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| 2013 Marzo | 27 | 28 | 55 |
| 2013 Febrero | 17 | 14 | 31 |
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| 2012 Diciembre | 14 | 16 | 30 |
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| 2012 Octubre | 0 | 5 | 5 |
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| 2012 Enero | 9 | 0 | 9 |
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