Prognosis Value of the Coma Glasgow and Four Scales
in Patients with Severe Cranioencephalic Injury from
Emergency Adults from the InstitutoAutonomo Hospital
Universitario De Los Andes Merida Venezuela January -
June 2018 Volume 5 - Issue 3
Camilo Estarling Cazorla Hernández*, Luis Andrés Dulcey Sarmiento, Jonathan Antonio Pineda Parada, Hector
Alonso Moreno Parra, Jose Jorge SampayoZuletaCiro Alfonzo la Cruz
Hospital Universitario de los Andes NivelMezanina Internal Medicine Service, Venezuela
Received: August 12, 2020; Published: August 21, 2020
*Corresponding author: Camilo EstarlingCazorla Hernández Hospital Universitario de los Andes NivelMezanina Internal Medicine
Objectives: To establish the prognostic role of the Glasgow and FOUR coma scales in patients with severe cranioencephalic
trauma of the adults emergency of the autonomous university hospital of the andesmeridavenezuela January - June 2018.
Materials and Methods: Prospective, field and longitudinal cut. We selected those patients older than 18 years with a diagnosis
of cranial encephalic trauma, the corresponding variables were evaluated in each patient of the sample.
Results: 56 patients 86.6% men and 13.4% women, the average age was 26.9 years, the largest age group corresponded to
those under 35 years, 44 (79%), the traffic accidents were the the main cause of head brain trauma 49 (87%), cerebral edema was
the main tomographic finding, all neurotomographic findings showed statistical significance. Total mortality was 12 (21%) patients
out of 56. Neurosurgical interventions were performed in 8 patients with a mortality of 5 (62.5%), (p <0.001). The Glasgow score in
the live group was 9 compared to 6 points in the deceased subgroup (p <0.001). The correlations between tests were D of Somers
(0.89), Gamma (0.91) and Tau-b Kendall (0.86).
Conclusion: There was an adequate correlation between the scales, there being the advantage of the FOUR scale in being able
to evaluate the stem reflexes.
Keywords: Craniocerebral trauma; mortality; brain tomography; glasgowscale; four scale