Recovery Degree in Pediatric Patients with Antecedent Severe Traumatic Brain Injury in Mexico
Sujey Araceli Zurita Rivera
Department of Pediatric Patient Medicine in Critical Condition, Mexican Institute of Social Security, Hospital General de Zona No. 1, Colima, Mexico.
Jose Alfredo Vidal Vidal *
Department of Critical Medicine, Hospital Para el Niño Poblano, Puebla, Mexico.
Froylan Eduardo Hernandez Lara Gonzalez
Teaching and Research Coordinator, Hospital Para el Niño Poblano, Puebla, Mexico.
Patricia Zagoya Martinez
Department of Hematology, Mexican Institute of Social Security, National Medical Center Gral, Manuel Avila Camacho, Puebla, Mexico.
Jose Felix Urbina Hernandez
Department of Head of the Critical Medicine, Hospital Para el Niño Poblano, Puebla, Mexico.
Francisco Tinoco Lemus
Department of Anesthesiology, Regional University Hospital, Colima, Mexico.
Rosario Ponce Dávila
Department of Pediatric Patient Medicine in Critical Condition, Mexican Institute of Social Security, National Medical Center, Adolfo Ruiz Cortinez, Veracruz, Mexico.
Atalia Saraí Ruíz Austria
Department of Pediatric Patient Medicine in Critical Condition, Mexican Institute of Social Security, Hospital General de Zona No. 1, Queretaro, Mexico.
Emma Juanita Carbajal Reyes
Department of Critical Medicine, Hospital Para el Niño Poblano, Universidad Nacional Autonoma de Mexico (UNAM), Puebla, Mexico.
Ivonne Juarez Reyes
Infectology Area, Hospital Para el Niño Poblano, Puebla, Mexico.
Carolina Contreras Camacho
Department of Pediatric Oncology, Mexican Institute of Social Security, Hospital General de Zona No.1, Colima, Mexico.
Manuel Alejandro Resendiz López
Department of Pediatric Oncology, Mexican Institute of Social Security, Hospital General de Zona No.1, Colima, Mexico.
Angel Ramon Saucedo Medina
Department of Pediatric, Mexican Institute of Social Security, Hospital General de Sub Zona No. 4, Colima, Mexico.
*Author to whom correspondence should be addressed.
Abstract
Aims: To determine the recovery degree in pediatric patients with antecedent severe traumatic brain injury.
Study Design: Prospective, analytical and relational.
Place and Duration of Study: Pediatrics Intensive Care Area of the “Hospital para el Niño Poblano” from March 2014 to February 2015.
Methodology: Patients aged 2 to 192 months, both sexes, with antecedent severe traumatic brain injury. The degree of recovery was determined with the Glasgow Outcome Score (GOS) at hospital discharge and one year after. Descriptive and inferential statistics were used data analysis.
Results: The study consisted of 23 patients, of which 69.56% were men. The mean age was 73.17±50.33 months. The predominant age group was middle childhood (34.78%). The main mechanism of injury was run over by a vehicle (39.13%). The group of toddler remained hospitalized for 17.50±8.58 days. Moreover, GOS at hospital discharge (p=0.391) and at one year (p=0.789) was not associated with sex. Additionally, an association of GOS at hospital discharge was found with GOS at one year of care (p=0.003), with greater improvement being observed, in those cases with less initial damage brain.
Conclusion: The degree of recovery at one year after hospital discharge in pediatric patients with antecedent severe traumatic brain injury is associated with the degree of recovery at hospital discharge. Middle childhood, being the group at greatest risk. The complications can reduce the recovery of the patient. Rehabilitation therapy provided by the public health services and the family is of vital importance.
Keywords: Critical care, Glasgow Outcome Scale (GOS), head injury, neurotrauma