Evaluation of traumatic brain injury in a hospital of urgency and emergency in the State of Sergipe

Authors

DOI:

https://doi.org/10.33448/rsd-v10i1.11625

Keywords:

Traumatic brain injury; Epidemiology; Craniocerebral trauma.

Abstract

Objective: To evaluate the profile of victims traumatic brain injury (TBI) in an emergency hospital in the state of Sergipe. Methods: This is a longitudinal, observational, prospective study, with a quantitative approach to TBI victims who were admitted to the critical axis of a hospital in the state of Sergipe, in the city of Aracaju. A self-made instrument was used, based on the Domingues instrument (2013), which contains objective questions with sociodemographic and physiological data, referring to the topography and clinical information of the study. Results: From the sample of 192 patients, an average age of 36.6 years was seen, with 87.5% male and 12.5% ​​female, where 74% suffered a transport accident, the minority of a blunt mechanism. (96.4%) of the victims received pre-hospital care, with (59.9%) being discharged as an outcome while 34.4% died, patients had a median hospital stay of 11 days, with (54, 2%) of them without the need for ICU admission, the minority of them had an outcome without sequelae. Conclusion: TBI is still the main cause of transport accidents, with a prevalence of blunt trauma, where the general profile of the victims was predominantly male patients, young adults aged between 18 and 29 years. Even with the majority of patients receiving prehospital care, death rates, although lower, are still very close to discharge rates.

References

Blackwell, D. L., Lucas, J. W., & Clarke, T. C. (2014). Summary health statistics for US adults: national health interview survey, 2012. Vital and health statistics. Series 10, Data from the National Health Survey, (260), 1.

Champion, H. R., Copes, W. S., Sacco, W. J., Lawnick, M. M., Keast, S. L., & Frey, C. F. (1990). The Major Trauma Outcome Study: establishing national norms for trauma care. Journal of Trauma and Acute Care Surgery, 30(11), 1356-1365.

Domingues, C. D. A. (2013). Trauma and injury severity score: análise de novos ajustes no índice (Doctoral dissertation, Universidade de São Paulo).

Estumano, G. R. W., Almeida, J. P. D. O., Feitosa Neto, P. A., & Fontelles, M. J. P. (2015). Índices de trauma como método prognóstico em pacientes vítimas de trauma abdominal atendidos no Hospital de referência de Urgência e Emergência no estado do Pará. Rev. para. med., 29(3).

Fernandes, R. N. R., & Silva, M. (2013). Epidemiology of traumatic brain injury in Brazil. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 32(03), 136-142.

Hyder, A. A., Wunderlich, C. A., Puvanachandra, P., Gururaj, G., & Kobusingye, O. C. (2007). The impact of traumatic brain injuries: a global perspective. NeuroRehabilitation, 22(5), 341-353.

Maia, B. G., de Paula, F. R. P., Cotta, G. D., Cota, M. D. A. L., Públio, P. G., de Oliveira, H., & de Oliveira, T. A. (2013). Perfil clínico-epidemiológico das ocorrências de traumatismo cranioencefálico. Revista Neurociências, 21(1), 43-52.

Moita, C. E., & Ferreira, R. M. (2018). O Papel Do Enfermeiro No Atendimento Pré-Hospitalar Do Paciente Com Trauma Crânio Encefálico. Revista De Trabalhos Acadêmicos-Universo Salvador, 1(6).

Moura, J. C., Rangel, B. L. R., Creôncio, S. C. E., & Pernambuco, J. R. B. (2011). Perfil clínico-epidemiológico de traumatismo cranioencefálico do Hospital de Urgências e Traumas no município de Petrolina, estado de Pernambuco. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 30(03), 99-104.

Parreira, J. G., Kanamori, L. R., Valinoto, G. C., & Perlingeiro, J. A. (2014). Giannini SSC, Assef JC. Análise comparativa dos fatores preditivos de morte em vítimas de trauma fechado com fraturas pélvicas. Rev Col Bras Cir, 41(4), 285-91.

Pereira, C. U., Duarte, G. C., & Santos, E. A. S. (2006). Avaliação epidemiológica do traumatismo craniencefálico no interior do Estado de Sergipe.

Pocock, S. J. (1983). Clinical trials: a practical approach. Chicester: John Wiley&Sons.

Praça, W. R., Matos, M. C. B., da Silva Magro, M. C., & de Souza Hermann, P. R. (2017). Perfil epidemiológico e clínico de vítimas de trauma em um hospital do Distrito Federal. Revista Prevenção de Infecção e Saúde, 3(1), 1-7.

Quevedo, M. J. S. (2009). Internações em UTI por trauma cranioencefálico (TCE) na cidade de Porto Alegre.

Raja, A., & Zane, R. D. (2018). Initial management of trauma in adults.

Santos, A. M. R. D., Sousa, M. E. D. C., Lima, L. O., Ribeiro, N. D. S., Madeira, M. Z. D. A., & Oliveira, A. D. D. S. (2016). Perfil epidemiológico do trauma cranioencefálico. Rev. enferm. UFPE on line, 3960-3968.

Sarani, B., & Martin, N. (2016). Overview of inpatient management in the adult trauma patient. UpToDate. Dostopno januarja.

Silva, J. A. D., Souza, A. R. D., Feitoza, A. R., & Cavalcante, T. D. M. C. (2017). Traumatismo cranioencefálico no município de Fortaleza. Enferm. foco (Brasília), 22-26.

Sousa, R. M. C. D. (2006). Comparação entre instrumentos de mensuração das consequências do trauma crânio-encefálico. Revista da Escola de Enfermagem da USP, 40(2), 203-213.

Vaez, A. C., de Vasconcelos, J. M., de Jesus, L. K. A., Pinheiro, F. G. D. M. S., de Paula, C. L. P., & da Conceição Araújo, D. (2015). Perfil clínico epidemiológico das vítimas de trauma cranioencefálico no intra-hospitalar de um hospital público do estado de Sergipe. Caderno de Graduação-Ciências Biológicas e da Saúde-UNIT-SERGIPE, 3(1), 113-126.

Viégas, M. L. C., Pereira, E. L. R., Targino, A. A., Furtado, V. G., & Rodrigues, D. B. (2013). Traumatismo cranioencefálico em um hospital de referência no estado do Pará, Brasil: prevalência das vítimas quanto a gênero, faixa etária, mecanismos de trauma, e óbito. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 32(01), 15-18.

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Published

08/01/2021

How to Cite

DIAS, E. S. .; JESUS, C. V. F. de .; FERRARI, Y. A. C. .; FERREIRA, E. C. .; SILVA, R. N. da .; MATOS, A. C. G. de .; SILVA, D. P. da .; DOMINGUES , C. de A. .; NOGUEIRA, L. de S. .; LIMA, S. O. Evaluation of traumatic brain injury in a hospital of urgency and emergency in the State of Sergipe. Research, Society and Development, [S. l.], v. 10, n. 1, p. e21710111625, 2021. DOI: 10.33448/rsd-v10i1.11625. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11625. Acesso em: 19 apr. 2024.

Issue

Vol. 10 No. 1

Section

Health Sciences

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Copyright (c) 2021 Edna Santos Dias; Carla Viviane Freitas de Jesus; Yasmim Anayr Costa Ferrari; Elder Cardoso Ferreira; Rute Nascimento da Silva; Ana Caroline Gusmão de Matos; Denison Pereira da Silva; Cristiane de Alencar Domingues ; Lilia de Souza Nogueira; Sonia Oliveira Lima

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