A prospective study on adrenal cortex responses and outcome prediction in acute critical illness: results from a large cohort of 203 mixed ICU patients

2007 ◽  
Vol 33 (12) ◽  
pp. 2116-2121 ◽  
Author(s):  
Ioanna Dimopoulou ◽  
Konstantinos Stamoulis ◽  
Ioannis Ilias ◽  
Marinella Tzanela ◽  
Panagiotis Lyberopoulos ◽  
...  
Author(s):  
Ashvamedh Singh ◽  
Kulwant Singh ◽  
Anurag Sahu ◽  
R. S. Prasad ◽  
N. Pandey ◽  
...  

Abstract Objective To estimate the level of myelin basic protein (MBP) and look for its validity in outcome prediction among mild-to-moderate head injury patients. Materials and Methods It was a prospective study done at the Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University from Jan 2018 to July 2019. All patients who presented to us within 48 hours of injury with mild-to-moderate head injury with apparently normal CT brain were include in the study. The serum sample were collected on the day of admission and 48 hours later, and patients were treated with standard protocols and observed 6 months postdischarge. Results Of the 32 patients enrolled, we observed mean MBP level was higher for severity of brain damage, but not associated with age, mode of injury, and radiological diagnosis. Mean MBP levels were not statistically associated with Glasgow coma scale (GCS) score at admission but was correlated to outcome with p < 0.05, with sensitivity of 50% and specificity 72%, that is, patients with good outcome have lower mean MBP levels. Conclusion MBP as per our analysis can be used as a prognostic marker in patients with head injury. It is not the absolute value rather a trend showing rise in serum MBP levels, which carries a significant value in outcome prediction.


2018 ◽  
Vol 2 (2) ◽  
pp. 01-01
Author(s):  
Raghunath Avanali

Traumatic brain injury (TBI) is an escalating problem with an almost geometric progression. The problem escalated with increasing population and traffic, but with limited resources to handle the issue.1,2 The present study has its objective focused on making a prognosis of the TBI patient.3 The outcome prediction helps in conveying the prognosis to the patient’s family. Needless to say, a prognostic prediction is also helpful in the optimal and timely utilization of available resources.


Critical Care ◽  
2014 ◽  
Vol 18 (Suppl 1) ◽  
pp. P347
Author(s):  
K Kontopoulou ◽  
E Antypa ◽  
I Sgouropoulos ◽  
N Voloudakis ◽  
E Chassou ◽  
...  

2001 ◽  
Vol 27 (4) ◽  
pp. 686-693 ◽  
Author(s):  
A. Druschky ◽  
M. Herkert ◽  
M. Radespiel-Tröger ◽  
K. Druschky ◽  
E. Hund ◽  
...  

2014 ◽  
Vol 186 (2) ◽  
pp. 510-511
Author(s):  
C. Jones ◽  
C.T. Boulger ◽  
E.J. Adkins ◽  
D.C. Evans ◽  
D.S. Eiferman ◽  
...  

Critical Care ◽  
10.1186/cc901 ◽  
2000 ◽  
Vol 4 (Suppl 1) ◽  
pp. P181
Author(s):  
V Segura ◽  
ME Arteaga ◽  
F Delgado

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