Preditores clínicos de mortalidade Intra-Hospitalar em pacientes com traumatismo Cranioencefálico grave no Hospital de Urgências de Sergipe / Clinical predictors of in-hospital mortality in patients with severe traumatic brain injuries at the Hospital de Urgências de Sergipe

Otávio Santiago Rocha, João Victor Santos Melo, Diego Henrique Gois Pereira, Thaís Cristina de Souza Melo, José Nolasco de Carvalho Neto, Arthur Maynart Pereira Oliveira, Bruno Fernandes de Oliveira Santos

Abstract


INTRODUÇÃO: O trauma cranioencefálico (TCE) é um sério problema de saúde pública responsável por milhões de mortes e casos de incapacidade mundialmente. O objetivo do presente trabalho é portanto identificar preditores clínicos de mortalidade intra-hospitalar em pacientes admitidos por TCE severo no Hospital de Urgências de Sergipe.   METODOLOGIA: Trata-se um estudo de coorte retrospectivo com análise da sobrevida de 228 pacientes com trauma cranioencefálico severo. O método utilizado para estimar a sobrevida do paciente foi a regressão de Cox, sendo considerados significativos os valores de p < 0,05. RESULTADOS: A idade mediana dos 228 incluídos no estudo foi de 31 anos (14-94) anos , sendo 201 (88,2%) do sexo masculino. Sessenta pacientes (27,5%) tiveram como desfecho o óbito durante o internamento, sendo que a maioria dos óbitos (42, 60%) ocorreu nos primeiros 15 dias. Foi constatada uma letalidade de 21,9% nos primeiros 30 dias. O único preditor clínico independente para morte intra-hospitalar foi ausência do reflexo fotomotor direto (RFD ausente) (RR 3,4 e IC 95% 1,9-6,0). CONCLUSÃO: Foi constatada uma letalidade de 21,9% nos primeiros 30 dias e somente RFD ausente foi preditor clínico independente de mortalidade intra-hospitalar nos pacientes com TCE grave.


Keywords


ferimentos craniofaciais, sobrevida, traumatismo cranioencefálico.

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DOI: https://doi.org/10.34119/bjhrv5n3-232

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