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Original Research Article Severe head injury is a major public health problem. About half of the deaths from traumatic causes are due to head trauma. The essential goal of early treatment is to prevent and / or limit the occurrence of secondary cerebral aggression factors of systemic origin. In developing countries, difficulties in accessing emergency diagnostic means and the availability of suitable drugs pose a problem of care. The aim of this study was to determine the factors of death of severe head injuries. This is a retrospective, descriptive and analytical study over a period of 5 years carried out in the neurosurgical intensive care unit of the UHC of FANN. It concerned all patients aged 15 and over received for SHI. The 15-44 age group was the most represented with a predominance of the male gender. Road accidents were the predominant causes followed by falls. In pre-hospitalization, more than half of the patients had received no treatment. Hemorrhagic contusion in the brain was the most common lesion seen on computed tomography. In the majority of cases was isolated SHI. In rare cases, lesions of the thorax and pelvis were associated. Factors correlated with death were: age, arterial hypotension, hypoxia and hypernatremia.

Mortality Factors in Severe Head Injury (SHI) at the Neurosurgical Intensive Care of the University Hospital Center of FANN (Dakar-Senegal)