Determinación de las complicaciones tempranas en pacientes con trauma craneoencefálico por colisión vehicular, atendidos en el Hospital Dr. Abel G. Pontón de enero a diciembre del 2016.

Abstract

One of the fatal injuries that can occur in a vehicular collision is traumatic brain injury (TBI), in the United States there are 1,700,000 patients with TBI annually, lesions varying in complexity and care characteristics, ranging from ambulatory care with warning in the signs of alarm until severe sequelae of disability and death, this has a great impact on public health. This study focuses on the complications of patient management in in -hospital care, focusing on the need for active community participation to reduce these injuries and excellent intra-, inter- and extra-level coordination in the prehospital and hospital phases of the care of these patients. Objectives: To determine the early complications in patients with cranioencephalic trauma registered at the hospital in Guayaquil since January 2016. Methods: Data collection: review of medical records, review of HOSVITAL program, selection according to inclusion and exclusion criteria; to perform an observational, retrospective, transversal, analytical study. Results: In this study, a population of 245 cases was found, with a sample of 118 cases that met inclusion and exclusion criteria, which were affected by in -hospital complications and 16.10%, 5.08% from pulmonary complications, and 5.08% suffered from musculoskeletal complications and cutaneous, 6.77% were neurologically affected, being the most frequent complication followed by dermal and respiratory lesions in direct relation to hospitalization states and acquired infectious processes, thus affecting the patient 's morbidity and mortality.