Comparing the systolic blood pressure (SBP) and pulse rate (PR) in injured children with and without traumatic brain injury

Loizou, Eleana; Bouamra, Omar; Dark, Paul; Martin, Bruce; Lecky, Fiona

doi:10.1016/j.resuscitation.2009.12.017

Cited by 8 publications

(13 citation statements)

References 13 publications

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“…[567] BP, and other vital signs HR and respiratory rate have been shown to play an important role in the initial evaluation of trauma patients. [91011] SBP has been shown as an important clinical marker to indicate trauma severity and included in many trauma scoring systems.…”

Section: Discussionmentioning

confidence: 99%

“…[7] There were also no details of the medications received by the patients, for example, for pain and analgesia; however, it is being reported that these medications may not hamper the results of BP and HR as these have no adverse effect on the cardiovascular response. [25] Another limitation for the present study is that we do not have the details whether these patients had a history of hypertension in the past and or were receiving any medications.…”

Section: Discussionmentioning

confidence: 99%

“…[1234] Traditional vital signs (systolic blood pressure [SBP], heart rate [HR], and respiratory rate) can be measured noninvasively and has been routinely used for initial assessment of trauma patients. [567] This study takes a review of on admission blood pressure (BP), HR among trauma patients and their impact on in-hospital mortality.…”

Section: Introductionmentioning

confidence: 99%

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On-admission blood pressure and pulse rate in trauma patients and their correlation with mortality: Cushing's phenomenon revisited

Bhandarkar

Munivenkatappa

Roy

et al. 2017

Int J Crit Illn Inj Sci

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Background:Injury-induced alteration in initial physiological responses such as hypertension and heart rate (HR) has a significant effect on mortality. Research on such associations from our country-India is limited. The present study investigates the injury-induced early blood pressure (BP) and HR changes and their association with mortality.Materials and Methods:The data were selected from Towards Improved Trauma Care Outcomes collected from October 1, 2013, to July 24, 2014. Patients above 18 years of age with documented systolic BP (SBP) and HR were selected. BP was categorized into hypotension (SBP <90 mmHg), hypertension (SBP >140 mmHg), and normal (SBP 90–140 mmHg). HR was categorized into bradycardia (HR <60 beats/min [bpm]), tachycardia (HR >100 bpm), and normal (HR 60–100 bpm). These categories were compared with mortality.Results:A total of 10,200 patients were considered for the study. Mortality rate was 24%. Mortality among females was more than males. Patients with normal BP and HR had 20% of mortality. Mortality in patients with abnormal BP and HR findings was 36%. Mortality was higher among hypotension-bradycardia patients (80%) followed by hypertension-bradycardia patients (58%) and tachycardia hypotension patients (48%). Elderly patients were at higher risk of deaths with an overall mortality of 35% compared to 23% of adults.Conclusion:The study reports that initial combination of hypotension-bradycardia had higher mortality rate. Specific precautions in prehospital care should be given to trauma patients with these findings. Further prospective study in detail should be considered for exploring this abnormality.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

On-admission blood pressure and pulse rate in trauma patients and their correlation with mortality: Cushing's phenomenon revisited

Bhandarkar

Munivenkatappa

Roy

et al. 2017

Int J Crit Illn Inj Sci

View full text Add to dashboard Cite

show abstract

“…We included children younger than 18 19, and 959.01) in our study. Severe TBI was defined as having an admission Glasgow Coma Scale (GCS) score ≤8 and a head abbreviated injury scale (AIS) score >3.…”

Section: Study Design and Populationmentioning

confidence: 99%

Blood Pressure Thresholds and Mortality in Pediatric Traumatic Brain Injury

et al. 2018

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“…Blood pressure is an unreliable guide to circulatory status in children and injured children may be normoor hypertensive regardless of the severity of injury [69]; therefore other signs of shock, such as peripheral circulatory restriction, tachycardia and confusion, should be recognised. There is evidence that capillary refill time (CRT) correlates with circulatory status and delayed CRT may indicate shock [70].…”

Section: Trauma In Childrenmentioning

confidence: 99%

Paediatric emergencies

McDougall

2012

Anaesthesia

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SummaryThe care of sick children can be challenging for the anaesthetist who is only involved in the occasional care of paediatric patients. This paper outlines the care of medical and surgical paediatric emergencies for which an anaesthetist working at a district general hospital or equivalent may encounter. Conditions discussed include paediatric respiratory emergencies, sepsis, status epilepticus, the acute abdomen in the newborn, intussusception, the bleeding tonsil, trauma and the child with burns.

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Comparing the systolic blood pressure (SBP) and pulse rate (PR) in injured children with and without traumatic brain injury

Cited by 8 publications

References 13 publications

On-admission blood pressure and pulse rate in trauma patients and their correlation with mortality: Cushing's phenomenon revisited

On-admission blood pressure and pulse rate in trauma patients and their correlation with mortality: Cushing's phenomenon revisited

Blood Pressure Thresholds and Mortality in Pediatric Traumatic Brain Injury

Paediatric emergencies

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