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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El traumatismo craneoencef&#225;lico grave &#40;TCEG&#41; es uno de los problemas sanitarios&#44; sociales y econ&#243;micos m&#225;s importantes de los pa&#237;ses industrializados&#46; Muchos estudios recientes sobre esta entidad arrojan a&#250;n resultados pesimistas&#44; presentando cifras de mortalidad y de pron&#243;sticos desfavorables muy similares a las publicadas en el &#250;ltimo cuarto de siglo&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A la hora de predecir el pron&#243;stico de los pacientes con TCEG&#44; se han dise&#241;ado diferentes &#8220;f&#243;rmulas o modelos pron&#243;sticos&#8221; que nosotros revisamos en este trabajo y cuyo objetivo primordial consiste en realizar predicciones fiables en futuros pacientes que sufran un TCEG&#46; Estos modelos est&#225;n formados de un lado&#44; por un conjunto de &#8220;indicadores o factores pron&#243;sticos&#8221; y del otro&#44; por unas &#8220;escalas pron&#243;sticas&#8221; que sirven para medir el pron&#243;stico final de estos pacientes&#46; Para la creaci&#243;n de estos modelos se utilizan diversas &#8220;t&#233;cnicas o m&#233;todos estad&#237;sticos&#8221; que tambi&#233;n ser&#225;n analizadas en este art&#237;culo&#46;</p>"
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        "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Severe head injury &#40;SHI&#41; is one of the most important health&#44; social&#44; and economic problems in industrialized countries&#46; Most of the recent studies related to this entity still show pessimistic results&#44; with percentages of mortality and unfavourable outcomes very similar than those reported in the last quarter of century&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In order to make predictions for patients with SHI&#44; different &#8220;prognostic formulas or models&#8221; reviewed in this manuscript&#44; have been developed with the main objective of performing reliable predictions for patients with this pathology&#46; These models are constructed by using a group of &#8220;prognostic indicators or factors&#8221; and different &#8220;prognostic scales&#8221; useful for measuring the final outcome&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The different &#8220;statistical techniques or methods&#8221; necessary to develop these prognostic models are also analyzed in this paper&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">Boto&#44; G&#46;R&#46;&#59; G&#243;mez&#44; P&#46;A&#46;&#59; De la Cruz&#44; J&#46;&#59; Lobato&#44; R&#46;D&#46;&#58; Modelos pron&#243;sticos en el traumatismo craneoencef&#225;lico grave&#46; Neurocirug&#237;a 2006&#59; 17&#58; 215&#8211;225&#46;</p>"
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Vol. 17. Núm. 3.
Páginas 215-225 (enero 2005)
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Vol. 17. Núm. 3.
Páginas 215-225 (enero 2005)
Modelos pronósticos en el traumatismo craneoencefálico grave
Prognostic models in severe head injury
Visitas
1564
G.R. Boto
, P.A. Gómez, R.D. Lobato
Servicio de Neurocirugía. Hospital 12 de Octubre. Madrid
J. De la Cruz*
* Unidad de Epidemiología Clínica. Hospital 12 de Octubre. Madrid
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Resumen

El traumatismo craneoencefálico grave (TCEG) es uno de los problemas sanitarios, sociales y económicos más importantes de los países industrializados. Muchos estudios recientes sobre esta entidad arrojan aún resultados pesimistas, presentando cifras de mortalidad y de pronósticos desfavorables muy similares a las publicadas en el último cuarto de siglo.

A la hora de predecir el pronóstico de los pacientes con TCEG, se han diseñado diferentes “fórmulas o modelos pronósticos” que nosotros revisamos en este trabajo y cuyo objetivo primordial consiste en realizar predicciones fiables en futuros pacientes que sufran un TCEG. Estos modelos están formados de un lado, por un conjunto de “indicadores o factores pronósticos” y del otro, por unas “escalas pronósticas” que sirven para medir el pronóstico final de estos pacientes. Para la creación de estos modelos se utilizan diversas “técnicas o métodos estadísticos” que también serán analizadas en este artículo.

Palabras clave:
Modelos pronósticos
Métodos de predicción
Pronóstico
Traumatismo craneoencefálico grave
Summary

Severe head injury (SHI) is one of the most important health, social, and economic problems in industrialized countries. Most of the recent studies related to this entity still show pessimistic results, with percentages of mortality and unfavourable outcomes very similar than those reported in the last quarter of century.

In order to make predictions for patients with SHI, different “prognostic formulas or models” reviewed in this manuscript, have been developed with the main objective of performing reliable predictions for patients with this pathology. These models are constructed by using a group of “prognostic indicators or factors” and different “prognostic scales” useful for measuring the final outcome.

The different “statistical techniques or methods” necessary to develop these prognostic models are also analyzed in this paper.

Key words:
Prognostic models
Prediction methods
Outcome
Severe head injury

Artículo

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