Relación entre los hallazgos de la tomografía inicial con la Clasificación de Marshall y las complicaciones que presentan los pacientes menores de 18 años de edad con Trauma Craneoencefálico en el Hospital Roberto Gilbert Elizalde, durante el periodo enero 2017 – enero 2019.

Abstract

Background: Head trauma is a health problem worldwide, being responsible for mental retardation, epilepsy and physical disability in many patients, so it is necessary to validate the findings of the first skull tomography using the Marshall scale, which allows categorize the type of injury, risk of developing intracranial hypertension, surgical management and estimate the neurological prognosis. Materials and Methods: Retrospective, observational, cross-sectional and analytical study, investigating the association between the findings of the initial tomography with the Marshall Classification and the complications presented by patients under 18 years of age with Cranioencephalic Trauma at the Roberto Gilbert Elizalde Hospital, during the period January 2017 - January 2019. Variables of the complications of traumatic brain injury were recorded in relation to the Marshall scale, to analyze the difference in means and chi square, looking for a direct association with said scale. Results: Of the 238 patients, it was shown that the staging according to the Marshall scale is not a good predictor for the presentation of complications, observing a statistically nonsignificant "p", post-traumatic seizures one (p=0.843), motor complications ( p= 0.399), third party support requirement (p= 0.336), and in mortality with one (p= 0.050). Conclusions: The classification of the CT with the Marshall Scale is not a predictor for mortality or post-traumatic complications. The Glasgow Coma Scale is a predictor of mortality risk (p= 0.000).