Traumatismo craneoencefálico pronóstico y complicaciones en el servicio de cirugía del Hospital Isidro Ayora Loja
Cranioencephalic trauma has been considered one of the most worrisome, serious and mortal pathologies because it involves the central nervous system. The purpose of this study was to establish the prognosis and complications of cranioencephalic trauma in the surgical service of the Hospital Isidro A...
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| Формат: | bachelorThesis |
| Язык: | spa |
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2021
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| Online-ссылка: | https://dspace.unl.edu.ec/jspui/handle/123456789/24192 |
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| _version_ | 1857833074287443968 |
|---|---|
| author | Monge Núñez, Jossely Nathalia |
| author_facet | Monge Núñez, Jossely Nathalia |
| author_role | author |
| collection | Repositorio Universidad Nacional de Loja |
| dc.contributor.none.fl_str_mv | León Loaiza, Fanny Karina |
| dc.creator.none.fl_str_mv | Monge Núñez, Jossely Nathalia |
| dc.date.none.fl_str_mv | 2021-08-05T17:53:47Z 2021-08-05T17:53:47Z 2021-08-05 |
| dc.format.none.fl_str_mv | 60 páginas application/pdf |
| dc.identifier.none.fl_str_mv | https://dspace.unl.edu.ec/jspui/handle/123456789/24192 |
| dc.language.none.fl_str_mv | spa |
| dc.publisher.none.fl_str_mv | Loja: Universidad Nacional de Loja |
| dc.rights.none.fl_str_mv | http://creativecommons.org/licenses/by-nc-sa/3.0/ec/ info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | reponame:Repositorio Universidad Nacional de Loja instname:Universidad Nacional de Loja instacron:UNL |
| dc.subject.none.fl_str_mv | TRAUMA CRANEOENCEFÁLICO ESCALA DE COMA GLASGOW |
| dc.title.none.fl_str_mv | Traumatismo craneoencefálico pronóstico y complicaciones en el servicio de cirugía del Hospital Isidro Ayora Loja |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/bachelorThesis |
| description | Cranioencephalic trauma has been considered one of the most worrisome, serious and mortal pathologies because it involves the central nervous system. The purpose of this study was to establish the prognosis and complications of cranioencephalic trauma in the surgical service of the Hospital Isidro Ayora Loja. A descriptive, retrospective study with a quantitative approach was carried out with a population of 125 patients diagnosed with cranioencephalic trauma during the period August 2017-August 2019. After obtaining the corresponding permissions, data collection forms were filled out for subsequent tabulation and analysis; statistical analysis was performed using the Kolmogorov-Smirnov normality test, the Wilcoxon rank test, and the binary logistic regression method (forward: Wald). There was a higher frequency of cases in the male sex, and the age range with the highest number of cases was between 18 and 26 years, both in men and women. The prognosis is directly related to the pre-discharge score measured by the Glasgow Coma Scale, i.e. it are less likely to die in those with Glasgow Coma Scale values > or equal to 9 and better in those with < or equal to 8 and electrolyte disturbances, followed by intracranial hypertension are the most frequent complications in these patients, while infections, cranial nerve injuries, seizures and post-traumatic epilepsy, cerebrospinal fluid fistula and death occurred less frequently. It should be noted that most of the patients did not present any complications. Key words: cranioencephalic trauma, prognosis, complications. |
| eu_rights_str_mv | openAccess |
| format | bachelorThesis |
| id | UNL_42d9535d0cd7b5dc7e90e000b0fbb4f0 |
| instacron_str | UNL |
| institution | UNL |
| instname_str | Universidad Nacional de Loja |
| language | spa |
| network_acronym_str | UNL |
| network_name_str | Repositorio Universidad Nacional de Loja |
| oai_identifier_str | oai:dspace.unl.edu.ec:123456789/24192 |
| publishDate | 2021 |
| publisher.none.fl_str_mv | Loja: Universidad Nacional de Loja |
| reponame_str | Repositorio Universidad Nacional de Loja |
| repository.mail.fl_str_mv | * |
| repository.name.fl_str_mv | Repositorio Universidad Nacional de Loja - Universidad Nacional de Loja |
| repository_id_str | 0 |
| rights_invalid_str_mv | http://creativecommons.org/licenses/by-nc-sa/3.0/ec/ |
| spelling | Traumatismo craneoencefálico pronóstico y complicaciones en el servicio de cirugía del Hospital Isidro Ayora LojaMonge Núñez, Jossely NathaliaTRAUMA CRANEOENCEFÁLICOESCALA DE COMA GLASGOWCranioencephalic trauma has been considered one of the most worrisome, serious and mortal pathologies because it involves the central nervous system. The purpose of this study was to establish the prognosis and complications of cranioencephalic trauma in the surgical service of the Hospital Isidro Ayora Loja. A descriptive, retrospective study with a quantitative approach was carried out with a population of 125 patients diagnosed with cranioencephalic trauma during the period August 2017-August 2019. After obtaining the corresponding permissions, data collection forms were filled out for subsequent tabulation and analysis; statistical analysis was performed using the Kolmogorov-Smirnov normality test, the Wilcoxon rank test, and the binary logistic regression method (forward: Wald). There was a higher frequency of cases in the male sex, and the age range with the highest number of cases was between 18 and 26 years, both in men and women. The prognosis is directly related to the pre-discharge score measured by the Glasgow Coma Scale, i.e. it are less likely to die in those with Glasgow Coma Scale values > or equal to 9 and better in those with < or equal to 8 and electrolyte disturbances, followed by intracranial hypertension are the most frequent complications in these patients, while infections, cranial nerve injuries, seizures and post-traumatic epilepsy, cerebrospinal fluid fistula and death occurred less frequently. It should be noted that most of the patients did not present any complications. Key words: cranioencephalic trauma, prognosis, complications.El traumatismo craneoencefálico se ha considerado como una de las patologías más preocupantes, graves y mortales por estar implicando el sistema nervioso central. El presente estudio tuvo como finalidad establecer el pronóstico y las complicaciones del traumatismo craneoencefálico en el servicio de Cirugía del Hospital Isidro Ayora Loja. Se realizó un estudio descriptivo, retrospectivo de enfoque cuantitativo, con una población de 125 pacientes diagnosticados con traumatismo craneoencefálico durante el periodo agosto 2017-agosto 2019. Luego de obtener los permisos correspondientes, se procedió a llenar la ficha de recolección de datos para la posterior tabulación y análisis; se aplicó análisis estadístico mediante: prueba de normalidad de Kolmogorov-Smirnov, prueba de rango de Wilcoxon, método de regresión logística binaria (hacia adelante: Wald). Se registró una mayor frecuencia de casos en el sexo masculino, además el intervalo de edad con mayor cantidad de casos se presentó entre 18 y 26 años, tanto en hombres como en mujeres. El pronóstico se relaciona directamente con el puntaje previo al egreso del paciente medido mediante la escala de coma de Glasgow, es decir tienen menores probabilidades de fallecer aquellos con valores en la escala de coma de Glasgow > o igual a 9 y mayores los que tienen < o igual 8 y las alteraciones electrolíticas, seguido de la hipertensión intracraneal son de las complicaciones más frecuentes en estos pacientes, mientras que las infecciones, lesiones de pares craneales, convulsiones y epilepsia postraumática, fístula de líquido cefalorraquídeo y la muerte se presentaron en menor frecuencia. Se debe tomar en cuenta que la mayor parte de los pacientes no presentaron complicación alguna. Palabras clave: trauma craneoencefálico, pronóstico, complicacionesLoja: Universidad Nacional de LojaLeón Loaiza, Fanny Karina2021-08-05T17:53:47Z2021-08-05T17:53:47Z2021-08-05info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesis60 páginasapplication/pdfhttps://dspace.unl.edu.ec/jspui/handle/123456789/24192spahttp://creativecommons.org/licenses/by-nc-sa/3.0/ec/info:eu-repo/semantics/openAccessreponame:Repositorio Universidad Nacional de Lojainstname:Universidad Nacional de Lojainstacron:UNL2025-05-02T15:59:56Zoai:dspace.unl.edu.ec:123456789/24192Institucionalhttps://dspace.unl.edu.ec/Universidad públicahttps://unl.edu.ec/https://dspace.unl.edu.ec/oaiEcuador***opendoar:02025-05-02T15:59:56falseInstitucionalhttps://dspace.unl.edu.ec/Universidad públicahttps://unl.edu.ec/https://dspace.unl.edu.ec/oai*Ecuador***opendoar:02025-05-02T15:59:56Repositorio Universidad Nacional de Loja - Universidad Nacional de Lojafalse |
| spellingShingle | Traumatismo craneoencefálico pronóstico y complicaciones en el servicio de cirugía del Hospital Isidro Ayora Loja Monge Núñez, Jossely Nathalia TRAUMA CRANEOENCEFÁLICO ESCALA DE COMA GLASGOW |
| status_str | publishedVersion |
| title | Traumatismo craneoencefálico pronóstico y complicaciones en el servicio de cirugía del Hospital Isidro Ayora Loja |
| title_full | Traumatismo craneoencefálico pronóstico y complicaciones en el servicio de cirugía del Hospital Isidro Ayora Loja |
| title_fullStr | Traumatismo craneoencefálico pronóstico y complicaciones en el servicio de cirugía del Hospital Isidro Ayora Loja |
| title_full_unstemmed | Traumatismo craneoencefálico pronóstico y complicaciones en el servicio de cirugía del Hospital Isidro Ayora Loja |
| title_short | Traumatismo craneoencefálico pronóstico y complicaciones en el servicio de cirugía del Hospital Isidro Ayora Loja |
| title_sort | Traumatismo craneoencefálico pronóstico y complicaciones en el servicio de cirugía del Hospital Isidro Ayora Loja |
| topic | TRAUMA CRANEOENCEFÁLICO ESCALA DE COMA GLASGOW |
| url | https://dspace.unl.edu.ec/jspui/handle/123456789/24192 |