Outcome and Predicting Factor Following Severe Traumatic Brain Injury: A Retrospective Cross-Sectional Study

Khajavikhan, Javaher; Vasigh, Aminolah; Khani, Ali; Jaafarpour, Molouk; Kokhazade, Taleb

doi:10.7860/jcdr/2016/16390.7294

Cited by 9 publications

(5 citation statements)

References 26 publications

(28 reference statements)

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“…Concerning the prognosis on the basis of GOS, we obtained as score the most represented GOS 1 (43%) followed by GOS 5 (32%), GOS 3 and 4 at 1%. These results are comparable to those obtained by Taleb and al [14] in Algeria 2014, which found a similar distribution for the GOS 1, 3 and 4, however with regard to the GOS 5 our results are different to those found in the USA by King et al [6] Where, the latter came last with a frequency of 2%. This difference can be explained by the fact that GOS 5 is the equivalent of mortality, so we recorded a higher mortality rate.…”

Section: Discussionsupporting

confidence: 86%

Prognostic Value of the Brain CT-Scan in Head Trauma in Yaounde Central Hospital

Bombah,

Messina,

Bello

et al. 2023

OJCD

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Introduction: Cranial trauma is a serious medico-surgical pathology that hinders the vital and functional prognosis. The Rotterdam computed tomography (CT) score refined features of the Marshall score. This score was designed to categorize traumatic brain injury (TBI) type and severity in adults. The aim of our research was to evaluate the association between the Rotterdam CT scores of patients after a cranial traumatism in terms of survival. Material and methods: It was a cross-sectional and analytical study from January 2018 to March 2020, using medical records of patients suffering from cranial traumatism, received and taken in charge in the Yaounde central hospital. Results: 100 patients were retained out of 115 recruited patients. The average age was 35.20 with a sex ratio of 4.55. The Rotterdam score was between 1 and 5 with a median of 2. The overall mortality at 6 months and 1 year was 32%. With an equal score compared to European studies, we recorded significantly higher mortality. We found the sequelae in 24% of the patients. GOS ranged from 1 to 5, and survival without sequelae (GOS 1) was the most represented. There was a positive correlation between the Rotterdam score and the GOS with a Pearson correlation coefficient of +0.514. Conclusion: The death rate in Rotterdam score equals is greater in our context compared to European studies.

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Section: Discussionsupporting

confidence: 86%

Prognostic Value of the Brain CT-Scan in Head Trauma in Yaounde Central Hospital

Bombah,

Messina,

Bello

et al. 2023

OJCD

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“…The current study did not find a significant relationship between work experience and other demographic characteristics of the subjects with the score obtained from the questionnaire. Considering the traumatic damage and the importance of triage management in nurses, it is necessary to intervene in this regard (42,49,50).…”

Section: Discussionmentioning

confidence: 99%

The Comparative Study on Pediatric Triage Decision-Making Power in Nurses and Nursing Students: A Cross Sectional Study

2019

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Background: Triage nurses are the first people in the emergency department providing care to patients. Their knowledge is very important in efficient triage. According to the few studies on the factors affecting triage, the current study aimed at investigating the nurses and nursing students' knowledge about the triage of children. Objectives: Accordingly, the current study aimed at determining the level of knowledge of nursing students and nurses about pediatric triage and the impact of knowledge on the triage performance, in Guilan University of Medical Sciences, Iran. Methods: The current descriptive, cross sectional study was conducted on 88 nurses and 88 nursing students selected through a census sampling from a selected hospital. The data were collected over one month in 2017, by means of a researcher-made questionnaire that included: Demographic characteristics (age, gender, degree, etc.) and knowledge level of staff. The validity of the questionnaire was determined by content validity and its reliability was measured by a test-retest method. After transferring the data into SPSS, statistical analysis was performed by descriptive and inferential statistical tests such as the Wilcoxon and Kruskal-Wallis. The level of significance was P < 0.05. Results: A total of 176 questionnaires were completed. A review of the responses given in the knowledge section revealed that 94.3% of the nurses and students were within the weak range. There was no significant relationship between demographic characteristics and triage knowledge in nurses and nursing students (P > 0.05). Conclusions: According to the current study results, knowledge of nurses and nursing students should be reinforced to better accomplish patient's triage. Since emergency nurses are among the most important staff in providing the prioritizing triage, therefore, nursing education programs should include triage courses that retain mastery in this scope.

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“…Several studies have reported an association between pneumonia and prognosis in the patient regardless of underlying illness. 11,12 One recent retrospective study even described the influence of pneumonia on functional outcome up to 5 years after insult. 11 In our study, pneumonia was not a predictor of an unfavorable long-term outcome; however, this might be dependent on multiple factors such as the beginning of treatment, the type of microorganism, the type of pneumonia, and the general condition of the patient.…”

Section: Discussionmentioning

confidence: 99%

Significant increase in acute subdural hematoma in octo- and nonagenarians: surgical treatment, functional outcome, and predictors in this patient cohort

Won¹,

Dubinski²,

Brawanski³

et al. 2017

Neurosurgical Focus

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OBJECTIVEAcute subdural hematoma (aSDH) is a common disease increasing in prevalence given the demographic growth of the aging population. Yet, the benefit of surgical treatment for aSDH and the subsequent functional outcome in elderly patients (age ≥ 80 years) remain unclear. Therefore, the aims of this study were to evaluate the incidence of aSDH in patients 80 years or older, determine overall functional outcome, identify predictors of an unfavorable or favorable outcome, and establish specific risk factors for seizures.METHODSThe authors retrospectively analyzed patients 80 years and older who presented with isolated aSDH in the past 10 years at their institution. The following parameters were assessed: baseline characteristics, clinical status on admission and 24 hours after surgery, and clinical course. Functional outcome was assessed at discharge and the 3-month follow-up (FU).RESULTSIn the period from January 2007 to December 2016, 165 patients with aSDH were admitted to the authors’ institution. Sixty-eight patients (41.2%) were 80 years old or older, and the mean age overall was 85 years (range 80–96 years). The incidence of aSDH in the elderly had significantly increased over past decade, with more than 50% of patients admitted to our institution for aSDH now being 80 years or older. The overall mortality rate was 28% at discharge and 48% at the FU. Independent predictors of an unfavorable outcome at discharge were a GCS score ≤ 8 at 24 hours after operation (p < 0.001) and pneumonia (p < 0.02). At the FU, a GCS score ≤ 8 at 24 hours after operation (p < 0.001) and cumulative comorbidities (≥ 5; p < 0.05) were significant independent predictors. All patients with more than 6 comorbidities had died by the FU. Surgical treatment in comatose compared to noncomatose patients had statistically significant, higher mortality rates at discharge and the FU. Still, 23% of the comatose patients and more than 50% of the noncomatose patients had a favorable outcome at the FU (p = 0.06).CONCLUSIONSThe number of octo- and nonagenarians with aSDH significantly increased over the last decade. These patients can achieve a favorable outcome, especially those with a noncomatose status and fewer than 5 comorbidities. Surgical and nonsurgical treatment of octo- and nonagenarians during and after discharge should be optimized to increase clinical improvement.

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Outcome and Predicting Factor Following Severe Traumatic Brain Injury: A Retrospective Cross-Sectional Study

Cited by 9 publications

References 26 publications

Prognostic Value of the Brain CT-Scan in Head Trauma in Yaounde Central Hospital

Prognostic Value of the Brain CT-Scan in Head Trauma in Yaounde Central Hospital

The Comparative Study on Pediatric Triage Decision-Making Power in Nurses and Nursing Students: A Cross Sectional Study

Significant increase in acute subdural hematoma in octo- and nonagenarians: surgical treatment, functional outcome, and predictors in this patient cohort

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