Associação do Valor Preditivo do New Injury Severity Score (Niss) Com A Escala de Resultados de Glasgow em Pacientes Com Lesão Axonial Difusa

Abstract

ABSTRACT Traumatic brain injury (TBI) affects large numbers of victims and constitutes a serious public health problem in Brazil. Diffuse axonal injury (DAI) is the most common consequence of TBI and it is responsible for most of the chronic sequelae. Analysis of the prognostic index new injury severity score (NISS) determines the severity of injuries by body region examined during the hospital stay and it is really useful in making decisions about treatment strategies and to predict mortality of victims. Given the above, the purpose of this study was to collect epidemiological data of victims with exclusive diagnosis of DAI and test the association of the predictive value of the NISS with the Glasgow Outcome Scale (GOS) at the hospital discharge. We analyzed medical records of 21 victims with exclusive diagnosis of DAI admitted to the DAI ambulatory at Clinics Hospital of the Faculty of Medicine, University of São Paulo, located in São Paulo city, from January 2011 to February 2012. The results show a predominance of male (76.2%) aged 24 years (±11.9) admitted during the morning (42.8%), on Saturday (23.8%), victims of motorcycle accidents (74 42%), referred to the hospital by prehospital specialized service (85.7%), with Glasgow Coma Scale less than or equal to 8 (76.2%); 71.4% of the victims were addmited at the Intensive Care Unit (ICU), with an lenght of hospital stay of 07 days (±20.46) and NISS mean of 36 (± 9.99). All victims had serious head injury with elevated head MAIS and severe disability (66.7%). Statistically significant association was found between NISS and the GOS. The severity of the victims with DAI by NISS is an important indicator of health care and can assist in the planning of multidisciplinary rehabilitation program specialist. How to cite this article de Alencar Domingues C, de Cássia Almeida Vieira R, de Andrade AF, de Paula Guirado VM, de Sousa RMC. Associação do Valor Preditivo do New Injury Severity Score (Niss) Com A Escala de Resultados de Glasgow em Pacientes Com Lesão Axonial Difusa. Panam J Trauma Critical Care Emerg Surg 2012;1(3):186-187.