Marcadores hematológicos pre y post quirúrgicos en procedimientos neuroquirúrgicos en pacientes con traumatismo craneoencefálico en el Hospital de Especialidades Teodoro Maldonado Carbo 2018 - 2020.

Abstract

Introduction: Traumatic brain injury (TBI) is defined as an alteration that can be functional or structural of the skull in which it is important to make a correct assessment, nowadays the parameter that has been used the most is the Glasgow Scale, its treatment needs support measures and some require a neurosurgical intervention to improve their prognosis and avoid later complications. In every procedure, in a protocol way, a hemogram study is requested where we can show different hematological markers such as erythrocytes, hemoglobin, hematocrit, leukocytes, platelets. The alteration of these values can warn conditions such as anemia, infections, coagulation disorders, bleeding, among others. Materials and methods: Retrospective, analytical, descriptive, and observational, cross-sectional study. The data were extracted through medical records in the AS400 system of the Teodoro Maldonado Carbo Specialties Hospital, period January 2018 to December 2020. Results: 184 patients were studied, with 85.87% male sex, the average age was 51 years, blood pressure was 124 mmHg in systolic blood pressure (SBP) and 76 mmHg in diastolic blood pressure (DBP), the average heart rate was 81.23 bpm. The most frequently described image was subdural hematoma. No significant variability was found between preoperative and postoperative hematological markers. Conclusion: There was no significant alteration when comparing the values within the hematological analysis before and after the neurosurgical procedure.