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Revista Cuidarte
Print version ISSN 2216-0973On-line version ISSN 2346-3414
Abstract
SILVA, Priscila Ferraz; SILVA, Andreia Soares da; OLEGARIO, Walnizia Kessia Batista and FURTADO, Betise Mery Alencar Sousa Macau. Characterization of cranioencephalic traumatism victims who evolved to brain death. Rev Cuid [online]. 2018, vol.9, n.3, pp.2349-2360. ISSN 2216-0973. https://doi.org/10.15649/cuidarte.v9i3.565.
Introduction
Cranioencephalic Trauma is the main cause of death and irreversible sequelae in polytraumatized patients, which represents a high cost for the public authorities. This is also one of the main public health problems in the country since it leads to several complications, including brain death, defined as the total and irreversible interruption of brain functions, which is incompatible with life. As a result, it is necessary to have a trained and qualified team to address the victims of Cranioencephalic Trauma. The aim of this study is to describe the clinical/traumatic factors present in Cranioencephalic Trauma victims who evolved to brain death.
Materials and Methods
Descriptive, retrospective and documentary study carried out in a public hospital of reference in the State of Pernambuco.
Results
121 medical records of cranioencephalic trauma victims who evolved to brain death victims were analyzed from January 2013 to December 2014. A predominance of males (83%) was observed in the age range of 21 to 30 years (34.7%), etiology of road traffic trauma (35%), followed by assault with firearms (21%). Accidents occurred on Sundays (27.3%), of which the majority were in severe Cranioencephalic Trauma (78.5%), with patients arriving at the site of care using a definitive airway (73.6%).
Discussion
The victims who evolve to brain death are generally male, of productive age, involved in serious traffic accidents, with attention to the increase in violence due to aggression by firearm.
Conclusions
This information may assist in the clinical practice of nurses and in the development of a more systematic assessment protocol for Cranioencephalic Trauma victims who evolve to brain death.
Keywords : Traumatic Brain Injuries; Brain Death; Organ Donation; Emergency.