Tomographic resolution according to the Marshall Scale in patients with moderate and severe head trauma treated at the Vicente Corral Moscoso Hospital

Abstract

Background: traumatic brain injury (CBI) is caused by a sudden exchange of mechanical energy, which results in an anatomopathological alteration of the brain and its envelopes; It can have serious consequences on the morbidity and mortality of the population. General objective: to identify tomographic hallmarks using the Marshall Scale in patients with moderate and severe head trauma (CBI) treated at the Vicente Corral Moscoso Hospital. River Basin 2019 Methodology: observational, descriptive and cross-sectional study. 174 medical records of patients with moderate and severe TBI who met the inclusion criteria were analyzed. The information is collected through a form. Descriptive statistics were applied. Results: the male sex prevailed in 80.5% of the cases; the highest prevalence of ECT was found in the age groups of 20 to 39 years with 46%. Most of the patients had moderate TBI in 67.8% according to the Glasgow scale. According to the Marshall scale, 42.5% of the patients were categorized as having type II diffuse lesions, followed by type IV, I and non-evacuated mass with 21.3%, 16.1% and 12.1% respectively. In the description of the tomographic resolution, 16.7% presented compromised or absent cisterns; in 42% a deviation from the midline <5mm was visualized and in 70.7% the size of the lesion was <25 cc. 16.7% of people died from TBI and 12.6% had concomitant fractures of the appendicular skeleton and 8% of the axial skeleton.