TY  - JOUR
PY  - 2021//
TI  - Epidemiological aspects and prognostic factors of severe traumatic brain injury
JO  - Neurochirurgie (Paris)
A1  - Mouhssine, Assamadi
A1  - Lamia, Benantar
A1  - Abdelaziz, Ait El Qadi
A1  - Hassane, Taoufik Abou El
A1  - Khalid, Aniba
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To determine the severity factors in severe traumatic brain injuries. <br><br>METHODS: A prospective descriptive study of severe head injuries admitted to the emergency department at Ibn Tofail Hospital at the University Hospital of Marrakesh over a period of six months from May to October 2015. The following data was collected: circumstances, clinical, biology, radiology, treatment and evolution. <br><br>RESULTS: One hundred and nineteen patients with severe traumatic brain injury were collected (101 males, 84,9%). The mean age was 37,73±15,7 years. Road accidents were the most common cause representing 84%. The median Glasgow coma scale (GCS) was 7±3. We noted 36 cases (30,3%) of anisocoria, 32 cases (26,9%) of bilateral mydriasis and 72 cases (60,5%) of hypoxia. Cerebral contusions (66,1%) and meningeal hemorrhage (66,6%) were the most frequent lesions on CT. Forty-seven patients (42%) had stage VI Marshall lesions. Twenty-four patients (20.1%) required a neurosurgical intervention, 12 extradural hematoma evacuations and 10 craniocerebral wounds. Mortality was 64.7% (77 deaths), the main cause was neurological (64,9%). In the latter group, we observed more frequently an older age (p = 0.00001), a management delay (p = 0.011), a low initial GCS (p = 0.000001), a bilateral nonreactive mydriasis (p = 0.0001), a hypoxia (p = 0.0002), a subarachnoid hemorrhage (p = 0.008), a high Marshall score (p = 0.017) and an anemia (p = 0.046). <br><br>CONCLUSION: Head trauma is a public health problem. The victims are young, and the sequelae are frequently disabling. Several parameters are associated with a poorer prognosis including age, neurological state and the initial delay in management.<p />  <p>Language: fr</p>
LA  - fr
SN  - 0028-3770
UR  - http://dx.doi.org/10.1016/j.neuchi.2021.04.005
ID  - ref1
ER  -