Objective: to analyze the epidemiological profile and mortality associated with the Revised Trauma Score (RTS) in trauma victims treated at a university hospital. Methods: we conducted a descriptive, cross-sectional study of trauma protocols (prospectively collected) from December 2013 to February 2014, including trauma victims admitted in the emergency room of the Cajuru University Hospital. We set up three groups: (G1) penetrating trauma to the abdomen and chest, (G2) blunt trauma to the abdomen and chest, and (G3) traumatic brain injury. The variables we analyzed were: gender, age, day of week, mechanism of injury, type of transportation, RTS, hospitalization time and mortality. Results: we analyzed 200 patients, with a mean age of 36.42 ± 17.63 years, and 73.5% were male. The mean age was significantly lower in G1 than in the other groups (p <0.001). Most (40%) of the visits occurred on weekends and the most common pre-hospital transport service (58%) was the SIATE (Emergency Trauma Care Integrated Service). The hospital stay was significantly higher in G1 compared with the other groups (p <0.01). Regarding mortality, there were 12%, 1.35% and 3.95% of deaths in G1, G2 and G3, respectively. The median RTS among the deaths was 5.49, 7.84 and 1.16, respectively, for the three groups. Conclusion: the majority of patients were young men. RTS was effective in predicting mortality in traumatic brain injury, however failing to predict it in patients suffering from blunt and penetrating trauma.
A Malformação Arteriovenosa da Veia de Galeno (MAVG) representa cerca de 1% das malformações vasculares intracranianas. É caracterizada por uma dilatação acentuada da Veia de Galeno, contendo múltiplas fístulas arteriovenosas que drenam para uma veia prosencefálica mediana chamada de veia de Markowski, precursora da veia de Galeno. A MAVG tem etiologia ainda desconhecida e sem relação com histórico familiar. Durante o período perinatal, a primeira manifestação clínica geralmente é o quadro de insuficiência cardíaca. O diagnóstico pode ser obtido desde a gestação através da ultrassonografia gestacional e, posteriormente, através de ultrassom transfontanelar, ressonância magnética e angiografia, sendo este o exame padrão. O método mais seguro e mais aceito atualmente para o tratamento é a embolização endovascular. Apresentamos o caso de um recém-nascido com ultrassonografia gestacional sugerindo MAVG, com quadro clássico de insuficiência cardíaca 8 dias após seu nascimento, com hipótese confirmada após investigação com neuroimagem. Após estabilização clínica durante o internamento, o paciente foi submetido à embolização em 3 etapas com boa evolução clínica. A deterioração do prognóstico, quando não tratada, ressalta a importância de se diagnosticar precocemente essa condição que, apesar de rara, deve entrar como diagnóstico diferencial frente a um recém-nascido com insuficiência cardíaca.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
334 Leonard St
Brooklyn, NY 11211
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.