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Introduction: Trauma is mortal, more than 50 % for traumatic brain injury. The 75 % of severe have an intracranial haemorrhage. An opportune medical- radiogical evaluation and appropriate treatment make a better prognosys.
Objectives: Make a description of characteristics and evaluation of management of the patients in the Critical Care Units. Methodologic Design: Cohorte analitic longitudinal prospective study between november 2004 to july 2005. Analysis of the epidemiological characteristics and associated factors and mortality. Statistical significance: p value, relationships: relative risk and 95% confidence intervals.
Results: Average age 39.7±14.4, M-F 7:1 and night-day 3:1. More frecuents lesions: Subaracnoid Haemorrage, Subdural Haematoma and /ntracerebral Haematoma, 31% each one. TranscranialDoppler at 88% and sedation depth at 81%. In severe 90% use intracranial pressure sensor with flow velocity of the medium cerebral artery increase. Severe 62%, moderate 19% and light 19%. 56% goes to the ward succesfully. Relathionship trauma severity and mortality 3.6 (1.4-9.4), endocranial hypertension and mortality 3.3 (1.3-8.7), cranial fracture and mortality 1.9 (1.03-4.99) and intracerebral haematoma and mortality 1.52(1.08-3.97).
Conclusions: The multimodai monitorization identify events that increase the letality and improve the management of the complications.
