Citation

Ospina-Delgado D, Mosquera Salas LM, Enríquez-Marulanda A, Hernández-Morales J, Pacheco R, Lobato-Polo J. Neurocirugia (Astur) 2018; 29(5): 217-224.

Vernacular Title

Caracterización de 95 pacientes adultos con trauma craneoencefálico debido a herida por proyectil de arma de fuego en un centro de referencia en Cali, Colombia.

Affiliation

Departamento de Neurocirugía, Fundación Valle del Lili, Cali, Colombia. Electronic address: jmlobatop@yahoo.com.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.neucir.2018.04.001

PMID

29934069

Abstract

OBJECTIVE: This study aims to describe cases of traumatic brain injury due to gunshot wounds in civilian population over 18 years of age, treated at a referral hospital in Cali, Colombia and compare the clinical outcomes at discharge.

METHODS: An observational, descriptive cross-sectional study was conducted by retrospectively collecting clinical data related to adult patients that presented traumatic brain injury due to civil gunshot-wounds and that consulted to the emergency room at Fundación Valle del Lili Hospital in Cali, Colombia between January 2010 and February of 2016. A univariate analysis was performed to determine factors associated with death and adverse clinical outcomes.

RESULTS: A total of 95 patients older than 18 years, with traumatic brain injury by gunshot were included in the civil context. The 91.6% were male. The main context was interpersonal violence with 54.7%. The most common method of transportation was by ambulance (79%). The Glasgow score at admission was 3-8 in 64.2% of cases; 9-12 in 6.32% and 13-15 in 28.4%. On admission, head CT scan was performed in 82 (86.3%) patients within the first hour, finding a Marshall-Score between I-III in 60.9%, of IV in 17.8% of cases and a score between V-VI and in 4.1%. The trajectory was non-transfixing penetrating in 43.2%, transfixing in 27.3% and tangential in 9.5%. Mortality was 45.3% in total, 39% died within the first 24hours.

CONCLUSIONS: A major compromise on admission determines an overall poorer prognosis and a high likelihood of death in the first 24-hours.

Copyright © 2018 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

Language: es

Keywords

Adult; Adultos; Gunshot; Herida por proyectil de arma de fuego; Penetrating brain injury; Trauma craneano penetrante; Trauma craneoencefálico; Traumatic brain injury