Hemotransfusion and mechanical ventilation time are associated with intra-hospital mortality in patients with traumatic brain injury admitted to intensive care unit

Almeida, Kelson James; Rodrigues, Ânderson Batista; Lemos, Luiz Euripedes Almondes Santana; Filho, Marconi Cosme Soares de Oliveira; Gandara, Brisa Fideles; Lopes, Rubens Pierry Ferreira; Modesto, Daniel Rocha e Silva; Rego, Irizon Klecio Pereira

doi:10.1590/0004-282x20160093

Cited by 8 publications

(4 citation statements)

References 17 publications

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“…There are quite a few people who might be foreigners in the metropolitan area of developed countries. Choose the appropriate logo language [17,18]. This is not a simple job but is an unusual technical term for increasing visitor sense from space.…”

Section: Design Elements Of Evacuation Guidance Signsmentioning

confidence: 99%

RETRACTED ARTICLE: Decision response of subway evacuation signs based on brain component features

Huang

Cao

2021

Neural Comput & Applic

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Due to safety issues when passengers get on and off the subway and spend a lot of time on the subway, this makes subway station signs very important. Moreover, in case of fire and other dangerous situations and emergency evacuation, the guiding signs must be able to guide passengers to leave the station and dangerous areas efficiently and orderly, so as to protect the personal and property safety of passengers. The purpose of this study was to analyze the decision response of subway evacuation signs using the characteristics of the brain components. In this study, subway model is constructed. When you perform simulation using software, you need to fine tune the parameters to get the best simulation effect. A questionnaire survey was made on the components of the subway sign. The results show that the number of people who think that the standard font of the blackboard logo is the most representative of the emergency exit, accounting for 78.2% of the total number of people, taking the image as the first choice accounted for 52.9% of the total number of people, and the green sulfur powder logo as the first choice accounted for 69.8% of the total number. This study makes an important contribution to the research of subway traffic safety problems.

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Section: Design Elements Of Evacuation Guidance Signsmentioning

confidence: 99%

RETRACTED ARTICLE: Decision response of subway evacuation signs based on brain component features

Huang

Cao

2021

Neural Comput & Applic

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“…Em estudo que identificou fatores associados a mortalidade intra-hospitalar em pacientes com traumatismo cranioencefálico em unidade de terapia intensiva, evidenciou uma correlação significativa entre a realização de hemotransfusão durante a internação e tempo de ventilação mecânica prolongada. A necessidade de transfusão de hemocomponentes está ligada à gravidade do quadro hemodinâmico, sendo requerida nos casos de perda maciça sanguínea, necessidade de melhora da perfusão tecidual de oxigênio ou reposição de hemocomponentes, como plaquetas, nos quadros trombocitopenicos (ALMEIDA et al, 2016).…”

Section: Discussionunclassified

Caracterização clínica dos potenciais doadores de órgãos e sua relação com a doação efetiva

Albuquerque Bezerra,

Lima do Nascimento,

Sarmento da Silva

et al. 2023

PRW

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Objetivo: avaliar se há relação entre o perfil clínico dos potenciais doadores de órgãos/tecidos com a efetividade da doação. Método: trata-se de um estudo documental, descritivo, realizado a partir de fontes secundárias de prontuários da Organização de Procura de Órgão, em um hospital de referência em politraumatismos e traumas neurológicos de maior complexidade no norte do Brasil, nos anos de 2016 a 2020. Resultados: 316 notificações compuseram a amostra do estudo. As características clínicas foram 19,3% (n=61) necessitaram de hemoterapia; 34,5% (n=109) tiveram parada cardíaca durante a internação no serviço hospitalar; 2,8% (n=9) apresentaram algum tipo de choque, prevalecendo a infecção com 27,5% (n=87); 63,9% (n=202) realizaram uso de antibioticoterapia; 93,4% (n=295) estavam utilizando algum tipo de droga vasoativa, sendo a mais comum a noradrenalina, em 92,1% (n=291) dos casos. Conclusão: com relação às características clínicas a ocorrência de PCR esteve associada com a efetividade das doações.

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“…Anemia has been associated with increased postoperative mortality after noncardiac surgery, as well as poorer outcomes after acute brain injury [59,60], but so is the use of blood transfusion, which appears to parallel an increased risk of intra-hospital mortality, infections, cerebral vasospasm, worsened cerebral autoregulation and other adverse events in neurosurgical patients [61][62][63][64][65][66][67][68][69][70][71]. The proposed mechanisms for these adverse outcomes are related to a number of changes in red blood cells (RBC) that occur with the aging of refrigerated blood (stored up to 42 days), collectively referred to as the "RBC storage lesion. "…”

Section: Transfusion Triggers For Neurosurgical Patients With Cardiovmentioning

confidence: 99%

Multimorbidity and Critical Care Neurosurgery: Minimizing Major Perioperative Cardiopulmonary Complications

Algahtani

Merenda

2020

Neurocrit Care

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With increasing prevalence of chronic diseases, multimorbid patients have become commonplace in the neurosurgical intensive care unit (neuro-ICU), offering unique management challenges. By reducing physiological reserve and interacting with one another, chronic comorbidities pose a greatly enhanced risk of major postoperative medical complications, especially cardiopulmonary complications, which ultimately exert a negative impact on neurosurgical outcomes. These premises underscore the importance of perioperative optimization, in turn requiring a thorough preoperative risk stratification, a basic understanding of a multimorbid patient's deranged physiology and a proper appreciation of the potential of surgery, anesthesia and neurocritical care interventions to exacerbate comorbid pathophysiologies. This knowledge enables neurosurgeons, neuroanesthesiologists and neurointensivists to function with a heightened level of vigilance in the care of these high-risk patients and can inform the perioperative neuro-ICU management with individualized strategies able to minimize the risk of untoward outcomes. This review highlights potential pitfalls in the intra-and postoperative neuro-ICU period, describes common preoperative risk stratification tools and discusses tailored perioperative ICU management strategies in multimorbid neurosurgical patients, with a special focus on approaches geared toward the minimization of postoperative cardiopulmonary complications and unplanned reintubation.

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Hemotransfusion and mechanical ventilation time are associated with intra-hospital mortality in patients with traumatic brain injury admitted to intensive care unit

Cited by 8 publications

References 17 publications

RETRACTED ARTICLE: Decision response of subway evacuation signs based on brain component features

RETRACTED ARTICLE: Decision response of subway evacuation signs based on brain component features

Caracterização clínica dos potenciais doadores de órgãos e sua relação com a doação efetiva

Multimorbidity and Critical Care Neurosurgery: Minimizing Major Perioperative Cardiopulmonary Complications

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