Comparación de la mortalidad en pacientes con trauma craneoencefálico grave que se sometieron a craneotomía descompresiva versus aquellos en quienes se usaron medidas de neuroprotección. Hospital Teodoro Maldonado Carbo, años 2017-2020.

Abstract

Introduction: The increase in cases of Severe Head Injury (SBI) reveals that currently there are no mortality data for patients operated on by decompressive craniectomy that differ with neuroprotective management. Objective: To establish mortality in severe traumatic brain injury in patients undergoing decompressive craniectomy compared to patients managed using neuroprotection measures in the 2017-2020 period. Methodology: Retrospective, cross-sectional, descriptive and without intervening in the study variables; the population is 453 patients with traumatic brain injury treated at the Teodoro Maldonado Carbo Specialty Hospital, period 2017-2020. Results: In patients with severe TBI treated with decompressive craniectomy or with neuroprotection, there was exactly the same mortality, that is, 25% of deaths in each group of patients. Conclusion: Mortality in the group studied with severe TBI was the same in the group treated with decompressive craniotomy as in neuroprotection.