Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/21654
Type: Artigo de periódico
Title: Avaliação da gravidade do traumatismo crânio-encefálico por índices anatômicos e fisiológicos
Title Alternative: Evaluation of head injury severity reported by physiologic and anatomic indexes
Author: Imai, Maria de Fátima Paiva
Koizumi, Maria Sumie
Abstract: The purpose of this study was the analysis of head injury severity based on physiologic and anatomic indexes, shown by hospitalized patients from the Intensive Care Unit. The study was characterized according to patients' age, gender, external cause and remaining time at the Intensive Care Unit, and it was verified that from the total of admitted patients the most of them were young adult males with a remaining time percentage of 6,28 days. Most frequent external cause was traffic motor vehicle accidents (65, 72%). The study also considers the lesions and trauma severity according to the Abbreviated Injury Scale/Injury Severity Score (AIS/ISS), reporting that the lesions were classified as severe lesions non-life threatening (AIS-3) and severe lesions life threatening (AIS-4). It was verified that the body region most affected was head and neck (57,65%). In relation to the trauma severity (ISS), most of the patients reached ISS 16. The study also presents the head injury severity by determining the consciousness level using the Glasgow Coma Scale (GCS); most of the patients showed severe head injury or GCS from 3 to 8. Analysis regarding a possible relation between the GCS and the AIS/ISS was performed to evaluate the head injury severity, considering the fact that the patient was victim of head injury or head injury and other body lesions. No meaning statistical element was observed regarding the relation, between the GCS-1 and the AIS from the head region, except when analised by groups of severity, or GCS-1 3 to 8 and AIS-head 4 to 5; GCS-1 9 to 12 and AIS-head 2 to 3. Similarly, no meaning statistical relation between the GCS-1 and the ISS, isolated head injury or head injury and other body lesions and the ISS or the GCS. It is expected that this study may contribute with new data for the continuous assistance improvement of patients, with head injury severity either related to other lesions or not, offered both by the Nursing and Health teams.
Este estudo analisou prospectivamente a gravidade do Traumatismo Crânio-Encefálico (TCE) a partir de índices anatômicos e fisiológicos em pacientes internados em Unidade de Terapia Intensiva. Teve por objetivo caracterizar a população quanto a idade, sexo, tempo de permanência na UTI e causa externa. Caracterizar a gravidade das lesões pela Abbreviated Injury Scale (AIS), do trauma pelo Injury Severity Score (ISS) e do TCE pela Escala de Coma de Glasgow (ECGl), além de verificar a possível associação entre os índices. Os resultados apontam a predominância de adultos jovens e do sexo masculino com causa externa mais freqüente em acidentes de trânsito de veículo a motor e média de permanência na UTI de 6,28 dias. Quanto a gravidade das lesões constatou-se que os pacientes apresentaram lesões graves, que não ameaçam a vida (AIS3) e lesões graves, que ameaçam a vida (AIS4) e que a região corpórea mais atingida foi a cabeça e pescoço. Em relação a gravidade do trauma constatou-se que a maioria dos pacientes obteve ISS 3 16. Pela gravidade do TCE, a maioria dos pacientes apresentou TCE grave ou ECGl de 3 a 8. Através da associação entre os índices analisados por grupos de gravidade constatou-se que há associação estatisticamente significativa entre a ECGl-1 e a AIS da região cabeça, ou seja ECGl 3 a 8 e AIS- cabeça 4 e 5 e ECGl 9 a 12 e AIS- cabeça 2 e 3. Não houve associação estatisticamente significativa entre a ECGl-1 e o ISS, TCE isolado ou TCE associado a outras lesões e o ISS ou a ECGl.
Subject: Traumatismo crânio-encefálico
Enfermagem neurológica
Índices de trauma
Escala de Coma de Glasgow
Ferimento e lesão
Head injury
Neurologic Nursing
Trauma indices
Glasgow Coma Scale
Wounds and injury
Editor: Universidade de São Paulo, Escola de Enfermagem
Rights: aberto
Identifier DOI: 10.1590/S0080-62341996000100010
Address: http://dx.doi.org/10.1590/S0080-62341996000100010
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62341996000100010
Date Issue: 1-Apr-1996
Appears in Collections:Unicamp - Artigos e Outros Documentos

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