Hallazgos tomográficos según Escala de Marshall en pacientes con traumatismos cráneo encefálicos moderados y severos atendidos en el Hospital Vicente Corral Moscoso. Cuenca 2019

Abstract

Tomographic resolution according to the Marshall Scale in patients with moderate and severe head trauma treated at the Vicente Corral Moscoso Hospital, 2019. Background: traumatic brain injury (CBI) is caused by a sudden exchange of mechanical energy, which results in an anatomopathological alteration of the brain and its envelopes; It can have serious consequences on the morbidity and mortality of the population. General objective: to identify tomographic hallmarks using the Marshall Scale in patients with moderate and severe head trauma (CBI) treated at the Vicente Corral Moscoso Hospital. River Basin 2019. Methodology: observational, descriptive and cross-sectional study. 174 medical records of patients with moderate and severe TBI who met the inclusion criteria were analyzed. The information is collected through a form. Descriptive statistics were applied. Results: the male sex prevailed in 80.5% of the cases; the highest prevalence of ECT was found in the age groups of 20 to 39 years with 46%. Most of the patients had moderate TBI in 67.8% according to the Glasgow scale. According to the Marshall scale, 42.5% of the patients were categorized as having type II diffuse lesions, followed by type IV, I and non-evacuated mass with 21.3%, 16.1% and 12.1% respectively. In the description of the tomographic resolution, 16.7% presented compromised or absent cisterns; in 42% a deviation from the midline <5mm was visualized and in 70.7% the size of the lesion was <25 cc. 16.7% of people died from TBI and 12.6% had concomitant fractures of the appendicular skeleton and 8% of the axial skeleton.