scholarly journals Genesis of Antibiotic Resistance (AR) XXXIX: Universal Implementation of Simplified Acute Physiology Score (SAPS‐II) score inclusive of AR as an effective prognostic indicator of mortality in Traumatic Brain Injury (TBI) induced Coma

2018 ◽  
Vol 32 (S1) ◽  
Author(s):  
Diego Villarreal ◽  
Jesus E. Munoz‐Chacon ◽  
Edith Gayton ◽  
Claudia Ledezama ◽  
Azalia Martinez ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Antibiotic Resistance ◽  
Brain Injury ◽  
Prognostic Indicator ◽  
Simplified Acute Physiology Score ◽  
Acute Physiology Score ◽  
Saps Ii ◽  
Saps Ii Score

scholarly journals Functional Outcome 6 Months after Severe Traumatic Brain Injury Following Admission to Intensive Care Unit: A Follow-Up Study in Two Neuro-Center Hospitals

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Norain Abdul Rashid ◽  
Mohd Basri Mat Nor ◽  
Mohamed Saufi Awang ◽  
Salizar Mohamed Ludin
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Functional Outcome ◽  
Sofa Score ◽  
Small Sample ◽  
Post Injury ◽  
Saps Ii ◽  
Saps Ii Score ◽  
Severe Tbi

Introduction: Traumatic brain injury (TBI) is a major medical and socioeconomic problem. Patients with severe TBI shows physical and functional improvement but remain with cognitive and psycho-social problem throughout recovery. Despite all the issues, the impact of TBI on long-term survivors in Malaysia is unknown. The aim of this study is to measure the functional level of ICU survivors with severe TBI within 6 months post injury. Materials and method: A cohort study was employed for this study. 33 participants from Hospital Tengku Ampuan Afzan (HTAA) Kuantan, Pahang and Hospital Sultanah Nur Zahirah (HSNZ) Kuala Terengganu with severe TBI were included in this study. The functional assessment of Glasgow Outcome Scale Extended (GOSE) was measured in all samples within in a 6 month period. Results: The participants mean age was 31.79 with ranged from 16 to 73 years old. The result of this study showed that within 3 months after discharged from the hospital, all the participants still had poor recovery n=33 (100.0%). Meanwhile, at 6 months after discharge from the hospital, n= 16 (48.5%) participants were scored good recovery. In this case, the SOFA and SAPS II score contributed significantly to the prediction (SOFA score p=0.045, SAPS II score p= 0.028) of functional outcome. Conclusion: The functional outcome of severe TBI improved in six months post injury. The SOFA score and SAPS II score become significant predictors for functional outcome in this study. However, there were some limitations to this study, which are small sample size and short follow-up duration. This study emphasized the importance of SOFA and SAPS II score in predicting functional outcome; thus early care plan should be done if severe TBI have higher SOFA or SAPS II score.

A simplified acute physiology score in the prediction of acute organophosphate poisoning outcome in an intensive care unit

2007 ◽  
Vol 26 (8) ◽  
pp. 623-627 ◽  
Author(s):  
S. Shadnia ◽  
D. Darabi ◽  
A. Pajoumand ◽  
A. Salimi ◽  
M. Abdollahi
Keyword(s):  
Intensive Care ◽  
Simplified Acute Physiology Score ◽  
Acute Physiology Score ◽  
Organophosphate Poisoning ◽  
Poison Center ◽  
Survival Group ◽  
Icu Admission ◽  
Saps Ii ◽  
Saps Ii Score ◽  
The Impact

Organophosphate poisoning (OPP) occurs frequently and accounts for a large number of intoxication cases treated in intensive care units (ICU). Poisoning by these agents is a serious public health problem. Among pesticides, OPs are the main cause of poisoning and death in Loghman-Hakim Poison Center of Tehran, Iran. The aim of this study was to determine the impact of the Simplified Acute Physiology Score (SAPS II) in the prediction of mortality in patients with acute OPP requiring admission to the ICU of Loghman-Hakim Hospital Poison Center over a period of 12 months. This study was a prospective, case-control of records of patients with acute OPP admitted to the ICU between January 2006 and December 2006. The Demographic data were collected and SAPS II score was recorded. During the study period, 24 subjects were admitted to the ICU with acute OPP. All 24 patients (15 male) required endotracheal intubation and mechanical ventilation in addition to gastric decontamination and standard therapy with atropine and oximes and adequate hydration. Of these, 24 patients, eight (five male) died. SAPS II score was significantly higher in the non-survival group than the survival group. Mortality following acute OPP remains high despite adequate intensive care and specific therapy with atropine and oximes. One-third of the subjects needing intensive care die within the hospitalization period. SAPS II scores calculated within the first 24 hours were recognized as good prognostic indicator among patients with acute OPP that required ICU admission. It is concluded that SAPS II score above 11 within the first 24 hours is a predictor of poor outcome in patients with acute OPP requiring ICU admission. Human & Experimental Toxicology (2007) 26, 623—627

scholarly journals Glasgow outcome scale at hospital discharge as a prognostic index in patients with severe traumatic brain injury

2012 ◽  
Vol 70 (8) ◽  
pp. 604-608 ◽  
Author(s):  
Rosmari A.R.A. Oliveira ◽  
Sebastião Araújo ◽  
Antonio L.E. Falcão ◽  
Silvia M.T.P. Soares ◽  
Carolina Kosour ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Medical Records ◽  
Glasgow Outcome Scale ◽  
Vegetative State ◽  
Prognostic Index ◽  
Prognostic Indicator ◽  
Neurosurgical Procedures ◽  
Severe Tbi ◽  
Two Measures

OBJECTIVE: Evaluate the Glasgow outcome scale (GOS) at discharge (GOS-HD) as a prognostic indicator in patients with traumatic brain injury (TBI). METHOD: Retrospective data were collected of 45 patients, with Glasgow coma scale <8, age 25±10 years, 36 men, from medical records. Later, at home visit, two measures were scored: GOS-HD (according to information from family members) and GOS LATE (12 months after TBI). RESULTS: At discharge, the ERG showed: vegetative state (VS) in 2 (4%), severe disability (SD) in 27 (60%), moderate disability (MD) in 15 (33%) and good recovery (GR) in 1 (2%). After 12 months: death in 5 (11%), VS in 1 (2%), SD in 7 (16%), MD in 9 (20%) and GR in 23 (51%). Variables associated with poor outcome were: worse GOS-HD (p=0.03), neurosurgical procedures (p=0.008) and the kind of brain injury (p=0.009). CONCLUSION: The GOS-HD was indicator of prognosis in patients with severe TBI.

VALIDATION OF A CUSTOMIZED VERSION OF THE SIMPLIFIED ACUTE PHYSIOLOGY SCORE II (SAPS II)

1999 ◽  
Vol 27 (Supplement) ◽  
pp. 144A
Author(s):  
PhGH Metnitz ◽  
A. Valentin ◽  
H. Vesely ◽  
T. Lang
Keyword(s):  
Simplified Acute Physiology Score ◽  
Acute Physiology Score ◽  
Saps Ii

scholarly journals Role of Intraoperative ICP And CPP Measurement for Predicting Surgical Outcome in Severe Traumatic Brain Injury

2020 ◽  
Vol 17 (02) ◽  
pp. 121-129
Author(s):  
Ramesh Chandra VV ◽  
Chandra Mowliswara Prasad Bodapati ◽  
Rajesh Paradesi
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Roc Curves ◽  
Prognostic Indicator ◽  
Burr Hole ◽  
Prognostic Indicators ◽  
Hematoma Evacuation ◽  
Significant Difference ◽  
Severe Tbi ◽  
Causes Of Mortality

Abstract Introduction Traumatic brain injury (TBI) is one of the leading causes of mortality and disability worldwide, and optimizing the management of these patients is a continuing challenge. Intraoperative intracranial pressure (ICP) and cerebral perfusion pressure (CPP) were evaluated for use as prognostic indicators after surgery for severe TBI. Although ICP and CPP monitoring is standard postsurgery treatment for TBI, very few studies have reported the use of ICP and CPP values monitored during surgery. Objectives The objectives of this study were to evaluate the use of intraoperative ICP and CPP values as prognostic indicators and as subjective guidelines for managing severe TBI. Materials and Methods All patients with severe TBI who underwent surgical decompression and ICP monitoring intraoperatively were included in our study from 2017 to 2018. We measured ICP and CPP values after creation of the first burr hole, after hematoma evacuation, and after wound closure. Results From the analysis of receiver-operated characteristic (ROC) curves, we observed that ICP initial (cutoff > 28 mm Hg) and CPP initial (cutoff < 44.5 mm Hg) are the best predictors of unfavorable outcomes. Favorable outcome (Glasgow outcome scale [GOS] 4 and 5) and unfavorable outcome (GOS 1–3) after 6 months were achieved in 64.1 and 35.8% of patients, respectively. There was significant difference between the ICP and CPP values which are measured after the first burrhole, after hematoma evacuation, and after scalp closure in both favorable and unfavorable outcomes. The highest positive Pearson’s correlation coefficient is found between GOS and ICP and CPP after first burr hole. Conclusion Monitoring ICP and CPP during surgery improves management in patients with severe TBI and provides an early prognostic indicator in such patients.

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