Admission by traumatisms in the Pediatrics Intensive Care Unit during five years.

Authors

  • Silvia Esther Romeu Yunaka
  • Juan Carlos Estenoz Esquivel
  • Lourdes Montero Álvarez
  • Ángel Jesús Lacerda Gallardo
  • Marino Ruiz de la Paz

Keywords:

POLITRAUMATISMO, TRAUMATISMO CRANEOENCEFÁLICO, CUIDADOS INTENSIVOS PEDIÁTRICOS, MORBIMORTALIDAD

Abstract

A descriptive observational study that included five years, which sample was constituted by 88 children that were admitted by traumatic causes in the Pediatric Intensive Care Unit of the General Provincial teaching Hospital "Roberto Rodriguez". It was determined that the 81,7% of the admissions were due to craneoencephalic traumatisms being the more frequent traffic accidents and the falls from high in children older than 5 years and among 2 to 4 years respectively, profound comma in CET was related with greater frequency in concomitant craneal fracture existence. The global mortality of the serie was 68% present above all in politraumatized with CET associated to letal injuries of organs and intrabdominal viscera due to in a high percentage to traffic accidents.

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Author Biographies

Silvia Esther Romeu Yunaka

Especialista de II Grado en Medicina Intensiva y Emergencias. Especialista de I Grado en Pediatría. Hospital General Provincial Docente “Capitán Roberto Rodríguez”, Morón, Ciego de Ávila.

Juan Carlos Estenoz Esquivel

Especialista de  II  Grado en Medicina Interna  y  Especialista de  II  Grado Medicina Intensiva y Emergencias. Instructor. Hospital General Provincial Docente “Capitán Roberto Rodríguez", Morón, Ciego de Ávila.

Lourdes Montero Álvarez

Especialista de I Grado en Pediatría. Diplomado en Terapia Intensiva Pediátrica. Hospital General Provincial Docente “Capitán Roberto Rodríguez”, Morón, Ciego de Ávila.

Ángel Jesús Lacerda Gallardo

Especialista de  II  Grado en Neurocirugía. Hospital General Provincial Docente  Capitán Roberto Rodríguez, Morón, Ciego de Ávila.

Marino Ruiz de la Paz

Especialista de II Grado en Medicina Intensiva y Emergencias. Especialista de I Grado en Pediatría. Hospital General Provincial Docente “Capitán Roberto Rodríguez”, Morón, Ciego de Ávila.

References

1. O’Neil JA. Infants and children as accident victims. En: Welch KJ. Pediatric surgery 4 ed. Chicago: Year Book Medical; 1999. pp.133-8.

2. Bouma GJ, Muizelaar JP Cerebral blood flow in severe clinical head injury. New Horizonts 1999; (3): 384-94.

3. Weatley J, Cass DT. Traumatic deaths in children: the importance of prevention. Med J Aus 1999; 150 (2):72-8.

4. Posle GV, Griswoold JA, Fhaggard VK, Rhades RS. Trauma is a recurrent disease. Surgery 1999; 113:608-11.

5. Eichelberger MR, Randolph JG. Progress in pediatric trauma. World J Surg 2002; 9:222-35.

6. Lescohier Y, Discala C. Blunt trauma in children: causes and outcomes of head versus extracraneal injury. Pediatrics 2002; 91(4):721-5.

7. Cruz J. Parámetros nuevos y convencionales del metabolismo cerebral global: aplicaciones en los pacientes en coma agudo. En: Net A, Marruecos-Sant L. Eds. Traumatismo craneoencefálico grave. Barcelona: Springer Verlag Ibérica; 1996. pp. 89-95.

8. Murillo F, Muñoz MA. Avances en el tratamiento del politraumatizado. Med Intensiva 2003; 11:529-36.

9. Zorludemir U. Mortality due to trauma in childhood. J Trauma 1998; 28:669-71.

10. Murillo Cabezas F, Muñoz Sánchez A, Domínguez Roldán J. Monitorización neurológica. En: Caturla Such J de. Medicina intensiva grave. Madrid: Idepsa; 2003. pp. 69-86.

11. Guyer G, Gallagher S. Enfoque epidemiológico de lesiones infantiles. Clin Pediat Nort 1995; 4:9-20.

12. Sbrikant B. Accidentes de tránsito, problema de salud en países en desarrollo de la América. Bol OPS 1987; 103 (2):130-9.

13. Nieto Lluis M. Mortalidad por accidentes. Algunos datos sobre su comportamiento Rev Cubana Adm Salud 1999;13 (1): 479-99.

14. Murillo Cabezas F. Estado actual y futuro del abordaje terapéutico del daño cerebral. Ciclo de charlas sobre cuidados intensivos. Ciudad de La Habana: CIMEQ; 1999.

15. Biestro A. Manejo inicial de la injuria encefálica traumática grave. En: Corea H, Rivara D. eds. CTI Universitario 25 años. Montevideo: Dos Puntos; 1998. pp. 213-43.

16. Jagg JL, Cruz J, Guennarell TA. Estimated cerebral metabolic rate of oxigenin severely brain-injuried patients: a valuable tool for clinical monitoring. Crit Care Med 1999; 23: 66-70.

17. Bergers MS, Pits LH, Lovely M. Outcome from severe head injury in children and adolescents. J Neurosurg 1999; 62: 194-9.

18. Murillo F, Muñoz MA, Domínguez JM. Resultados en los traumatismos craneoencefálicos graves pediátricos. Am C Int 2002; 3: 173-8.

19. Lavery RF, Tortella BJ, Griffin CC. The prehospital treatment of pediatric trauma. Emerg Care 1999; 8(1): 9-12.

20. Kelly BJ, Luce JM. Critical care. Current concepts in cerebral protection. Chest 2002; 103:1246-54.

21. Scalea TM, Maltz S, Yelon J. Resuscitacion of multiple trauma and injury: role of crystalloids fluid and inootropes. Crit Care Med 1998; 22 (10):1610-5.

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How to Cite

1.
Romeu Yunaka SE, Estenoz Esquivel JC, Montero Álvarez L, Lacerda Gallardo Ángel J, Ruiz de la Paz M. Admission by traumatisms in the Pediatrics Intensive Care Unit during five years. Mediciego [Internet]. 2004 Dec. 4 [cited 2024 May 19];10(2). Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/2694

Issue

Vol. 10 No. 2 (2004)

Section

Original article

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