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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El prop&#243;sito de este trabajo es mostrar la epidemiolog&#237;a del traumatismo craneoencef&#225;lico &#40;TCE&#41; en una poblaci&#243;n de la ciudad de Buenos Aires&#44; cuyas caracter&#237;sticas socioecon&#243;micas representan a todos los sectores de la sociedad&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo&#44; de base poblacional&#44; autorizado por el Comit&#233; de &#201;tica y de Docencia e Investigaci&#243;n como parte de un programa integral de neurotrauma&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Tasa de incidencia de 322 TCE por 100&#46;000 habitantes&#46; Un 93&#37; TCE leves&#59; 4&#37; TCE moderados y 3&#37; TCE graves&#46; El promedio de edad de las mujeres fue mayor que la de los hombres &#40;49 vs 38 a&#241;os&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#46; La poblaci&#243;n menor de 40 a&#241;os con respecto a los mayores de 40 a&#241;os present&#243;&#58; un riesgo relativo &#40;RR&#41; 1&#44;97 veces mayor de sufrir cualquier tipo de TCE &#40;IC 95&#37; 1&#44;77 &#8211; 2&#44;19&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#46; Los menores de 40 a&#241;os tambi&#233;n&#44; mostraron un RR de 2&#44;53 &#40;IC 95&#37; 2&#44;03 &#8211; 3&#44;17&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41; para sufrir un TCE por veh&#237;culos a motor&#46; Los conductores de auto presentaron un RR de 16&#44;76 &#40;IC 95&#37; 5&#44;35 &#8211; 52&#44;50&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41; de sufrir un accidente siendo hombre&#44; independientemente de la edad&#46; La agresi&#243;n fue tambi&#233;n mayor en los menores de 40 a&#241;os&#44; con un RR de 2&#44;11 &#40;IC 95&#37; 1&#44;46 &#8211; 3&#44;03&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41; que aumenta cuando se diferencia por sexos&#46; Para las ca&#237;das de la propia altura&#44; en cambio&#44; el RR fue de 4&#44;35 &#40;IC 95&#37; 2&#44;61 &#8211; 4&#44;16&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41; para los mayores de 40 a&#241;os y de 3&#44;15 &#40;IC 95&#37; 2&#44;57 &#8211; 3&#44;87&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41; para las mujeres independientemente de la edad&#46; Asimismo&#44; el RR para sufrir un atropello fue m&#225;s alto para los mayores de 40 a&#241;os &#40;1&#44;84 IC 95&#37; 1&#44;41 &#8211; 2&#44;41 p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#46; No se encontraron otras diferencias estad&#237;sticas ni aumento del RR en los dem&#225;s mecanismos de trauma&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La incidencia de TCE es elevada&#44; con una proporci&#243;n de TCC moderados y graves y tasa de mortalidad inferior a otras series&#46; Los accidentes de tr&#225;fico contin&#250;an como primer agente causal&#44; afectando&#44; sobre todo&#44; a la poblaci&#243;n joven masculina&#44; mientras las ca&#237;das de altura y atropellos inciden en la poblaci&#243;n mayor de 40 a&#241;os y sexo femenino&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The aim of the study is to present head injury &#40;HI&#41; epidemiology in a population of Buenos Aires that represents almost all socioeconomic sectors&#46;</p> <span class="elsevierStyleSectionTitle">Material and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Prospective&#44; population based study&#44; approved by the Ethic&#44; Education and Research Committees as part of a neurotrauma program&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">HI incidence was 322&#47;100000 inhabitants&#44; of them mild HI accounted for 93&#37;&#44; moderate HI 4&#37; and severe HI 3&#37;&#46; Average age was greater in women than in men &#40;49 vs&#46; 38 yo&#44; p 0&#44;01&#41;&#46; Taking into account population under and over 40 years we found several differences&#58; the relative risk &#40;RR&#41; for any kind of Hl was 1&#44;97 &#40;CI 95&#37; 1&#44;77 &#8211; 2&#44;19&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#44; and the RR for motor vehicle &#40;MV&#41; related HI was 2&#44;53 &#40;CI 95&#37; 2&#44;03 &#8211; 3&#44;17&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#46; Male drivers had a higher RR &#40;16&#44;76 CI 95&#37; 5&#44;35 &#8211; 52&#44;50&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41; regardless age&#46; Assaults were also significantly higher in people under 40 yo &#40;RR 2&#44;11 IC 95&#37; 1&#44;46 &#8211; 3&#44;03&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41; increased in young males&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Self altitude falls were more frequent in population over 40 yo &#40;RR 4&#44;35 CI 95&#37; 2&#44;61 &#8211; 4&#44;16&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41; and in women at any age &#40;RR 3&#44;15 CI 95&#37; 2&#44;57 &#8211; 3&#44;87&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#46; Pedestrian accidents were also more common in population over 40 yo &#40;RR 1&#44;84 CI 95&#37; 1&#44;41&#8211;2&#44;41 p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">We did not found any other differences concerning the remaining trauma mechanisms&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">HI incidence in Buenos Aires is similar to other printed series&#44; but moderate and severe HI and mortality rates are below that ones&#46; Motor vehicle accidents are the leading HI cause&#44; especially in the young male population&#44; while self altitude fall and pedestrian accidents are prevalent in women and people over 40 yo&#46;</p>"
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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
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** Servicio de Cuidados Críticos y Urgencias. Hospital Universitario Virgen del Rocío. Sevilla. España

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