@article{ref1,
title="Characterization of 95 patients with traumatic brain injury due to gunshot wounds at a referral center in Cali, Colombia",
journal="Neurocirugía (Asturias, Spain)",
year="2018",
author="Ospina-Delgado, Daniel and Mosquera Salas, Laura Marcela and Enríquez-Marulanda, Alejandro and Hernández-Morales, Jaime and Pacheco, Robinson and Lobato-Polo, Javier",
volume="29",
number="5",
pages="217-224",
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. <br><br>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. <br><br>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. <br><br>CONCLUSIONS: A major compromise on admission determines an overall poorer prognosis and a high likelihood of death in the first 24-hours.<br><br>Copyright © 2018 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.<p /> <p>Language: es</p>",
language="es",
issn="1130-1473",
doi="10.1016/j.neucir.2018.04.001",
url="http://dx.doi.org/10.1016/j.neucir.2018.04.001"
}