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Traumatic brain injury by a firearm projectile: a 16 years experience of the neurosurgery service of Santa Casa de São Paulo.
MedLine Citation:
PMID:  24173480     Owner:  NLM     Status:  Publisher    
OBJECTIVE: To evaluate the epidemiology and prognostic factors associated with traumatic brain injury by a firearm projectile (FAP).
METHODS: We reviewed the medical records of 181 patients in the Department of Neurosurgery of Santa Casa de São Paulo (São Paulo Holy House) diagnosed with traumatic brain injury (TBI) resulting from FAP from January 1991 to December 2005. Were evaluated: age, sex, Glasgow Coma Scale (GCS) on admission, brain region affected by the FAP, type of injury (penetrating or tangential), type of treatment and outcome, based on GCS. The relationship between therapeutic strategy and outcome was analyzed using the Chi-square test with Yates correction. The Fisher test was used to verify the same correlation individually for each group stratified by GCS on admission.
RESULTS: Of the181 patients, 85% were male (n = 154) and 15% female (n = 27). Mean age was 31.04 years (± 10.98). The mostly affected brain region was the frontal lobe (27.6%), followed by temporal (24.86%) and occipital (16.57%) ones. Of the TBIs evaluated, 16% were tangential and 84%, penetrating.
CONCLUSION: Patients undergoing surgical treatment had better outcome than those submitted to conservative treatment, and patients who were more severe at admission (GCS 3-8) have better results with the neurosurgical procedure.
Rodrigo Becco de Souza; Alexandre Bossi Todeschini; José Carlos Esteves Veiga; Nelson Saade; Guilherme Brasileiro de Aguiar
Publication Detail:
Journal Detail:
Title:  Revista do Colegio Brasileiro de Cirurgioes     Volume:  40     ISSN:  1809-4546     ISO Abbreviation:  Rev Col Bras Cir     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-10-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7809515     Medline TA:  Rev Col Bras Cir     Country:  -    
Other Details:
Languages:  ENG; POR     Pagination:  300-304     Citation Subset:  -    
Vernacular Title:
Traumatismo cranioencefálico por projétil de arma de fogo: experiência de 16 anos do serviço de neurocirurgia da Santa Casa de São Paulo.
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