Epidemiological Profile and Prognostic Factors of Cranioencephalic Injury by Firearm Projectile in a Reference Hospital in the Metropolitan Region II
Paulo Henrique Reigota Pinguelo, Bruno Lima Pessoa, Licínio Esmeraldo da Silva
Abstract
Introduction: Traumatic brain injury (TBI) is a serious condition with high morbidity and mortality worldwide. Objective: The Epidemiological Profile and Prognostic Factors of Head Trauma due to Low-Energy FAP in Metropolitan Region II of the State of Rio de Janeiro were analyzed. Methods: The medical records of 50 patients who arrived alive, victims of TBI due to low-energy Firearm Projectile (FAP), treated at the Alberto Torres State Hospital (ATSH) Trauma Center, from January 2015 to August 2022 were evaluated, considering the variables age group, sex, race, Glasgow Coma Scale (GCS) at entry, affected brain regions, laterality, middle line crossing in the coronal plane, proposed treatment — whether conservative or surgical — and Glasgow Outcome Scale (GOS). Results: it was found that the greatest epidemiological variables occurred in males, mixed race and in the age group under 30 years of age. The predictive indices of severity and death occurred in patients who were admitted with severe Glasgow Coma Scale, with lesions that crossed the coronal middle line, bi-hemispheric, and in cases with a greater number of injured brain regions. The parietal lobe was the most affected. All cases of TBI due to FAP that did not penetrate the cranial cavity evolved well. Conclusion: the epidemiological results and predictive prognoses presented in this study are in accordance with the literature.
Keywords
References
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Submitted date:
07/25/2025
Accepted date:
07/30/2025
Publication date:
11/28/2025
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