INCIDENCE OF ACUTE CORONARY SYNDROME AFTER TRAUMATIC BRAIN INJURY IN INTENSIVE CARE UNIT (ASSOCIATED FACTORS AND MORTALITY): A RETROSPECTIVE STUDY

Background: Patients with acute coronary syndrome complicated with high degree atrioventricular block still have a high mortality. A low percentage of these patients need a permanent pacemaker (PPM) but mortality and associated factors with the PPM implant in acute coronary syndrome patients are not known. We assess whether PPM implant is an independent variable in the mortality of acute coronary syndrome patients. Also, we explored the variables that remain independently associated with PPM implantation. Methods: This was an observational study on the Spanish ARIAM register. The inclusion period was from January 2001 to December 2011. This registry included all Andalusian acute coronary syndrome patients. Follow-up for global mortality was until November 2013. Results: We selected 27,608 cases. In 62 patients a PPM was implanted (0.024%). The mean age in PPM patients was 70.71±11.214 years versus 64.46±12.985 years in patients with no PPM. PPM implant was associated independently with age (odds ratio (OR) 1.031, 95% confidence interval (CI) 1.007–1.055), with left ventricular branch block (OR 6.622, 95% CI 2.439–18.181), with any arrhythmia at intensive care unit admission (OR 2.754, 95% CI 1.506–5.025) and with heart failure (OR 3.344, 95% CI 1.78–8.333). PPM implant was independently associated with mortality (OR 11.436, 95% CI 1.576–83.009). In propensity score analysis PPM implant was still associated with mortality (OR 5.79, 95% CI 3.27–25.63). Conclusion: PPM implant is associated with mortality in the acute coronary syndrome population in the ARIAM registry. Advanced age, heart failure, arrhythmias and left ventricular branch block at intensive care unit admission were found associated factors with PPM implant in acute coronary syndrome patient.

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Prevalence, Presenting Complaints, Risk Factors and Comorbidity of Acute Coronary Syndrome at Orotta National Referral Hospital Intensive Care Unit Eritrea: Retrospective Study

Science Journal of Public Health ◽

10.11648/j.sjph.20170506.18 ◽

2017 ◽

Vol 5 (6) ◽

pp. 457

Author(s):

Elias Teages Adgoy

Keyword(s):

Risk Factors ◽

Intensive Care Unit ◽

Acute Coronary Syndrome ◽

Intensive Care ◽

Retrospective Study ◽

Referral Hospital ◽

Coronary Syndrome ◽

Hospital Intensive Care Unit ◽

National Referral Hospital

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Intensive care unit variables and outcome after pediatric traumatic brain injury: A retrospective study of survivors

Pediatric Critical Care Medicine ◽

10.1097/01.pcc.0000298638.66240.0e ◽

2008 ◽

Vol 9 (1) ◽

pp. 47-53 ◽

Cited By ~ 14

Author(s):

Cynthia F. Salorio ◽

Beth S. Slomine ◽

Anne-Marie Guerguerian ◽

James R. Christensen ◽

Jeanette R. M. White ◽

...

Keyword(s):

Intensive Care Unit ◽

Traumatic Brain Injury ◽

Intensive Care ◽

Retrospective Study ◽

Brain Injury ◽

Pediatric Traumatic Brain Injury

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Secondary stroke in patients with polytrauma and traumatic brain injury treated in an Intensive Care Unit, Karlovac General Hospital, Croatia

Injury ◽

10.1016/j.injury.2015.10.057 ◽

2015 ◽

Vol 46 ◽

pp. S31-S35 ◽

Cited By ~ 1

Author(s):

M. Belavić ◽

E. Jančić ◽

P. Mišković ◽

A. Brozović-Krijan ◽

B. Bakota ◽

...

Keyword(s):

Intensive Care Unit ◽

Traumatic Brain Injury ◽

Intensive Care ◽

Brain Injury ◽

General Hospital

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Behavioral Pain Indicators in Patients with Traumatic Brain Injury Admitted to an Intensive Care Unit

Journal of Caring Sciences ◽

10.15171/jcs.2018.030 ◽

2018 ◽

Vol 7 (4) ◽

pp. 197-203 ◽

Cited By ~ 1

Author(s):

Roghieh Nazari ◽

Saeed Pahlevan Sharif ◽

Kelly A Allen ◽

Hamid Sharif Nia ◽

Bit-Lian Yee ◽

...

Keyword(s):

Intensive Care Unit ◽

Traumatic Brain Injury ◽

Intensive Care ◽

Brain Injury ◽

Injury Severity ◽

Repeated Measure ◽

Neck Stiffness ◽

Significant Difference ◽

Eye Opening ◽

Different Levels

Introduction: A consistent approach to pain assessment for patients admitted to intensive care unit (ICU) is a major difficulty for health practitioners due to some patients’ inability, to express their pain verbally. This study aimed to assess pain behaviors (PBs) in traumatic brain injury (TBI) patients at different levels of consciousness. Methods: This study used a repeated-measure, within-subject design with 35 patients admitted to an ICU. The data were collected through observations of nociceptive and non-nociceptive procedures, which were recorded through a 47-item behavior-rating checklist. The analyses were performed by SPSS ver.13 software. Results: The most frequently observed PBs during nociceptive procedures were facial expression levator contractions (65.7%), sudden eye openings (34.3%), frowning (31.4%), lip changes (31.4%), clear movement of extremities (57.1%), neck stiffness (42.9%), sighing (31.4%), and moaning (31.4%). The number of PBs exhibited by participants during nociceptive procedures was significantly higher than those observed before and 15 minutes after the procedures. Also, the number of exhibited PBs in patients during nociceptive procedures was significantly greater than that of exhibited PBs during the non-nociceptive procedure. The results showed a significant difference between different levels of consciousness and also between the numbers of exhibited PBs in participants with different levels of traumatic brain injury severity. Conclusion: The present study showed that most of the behaviors that have been observed during painful stimulation in patients with traumatic brain injury included facial expressions, sudden eye opening, frowning, lip changes, clear movements of extremities, neck stiffness, and sighing or moaning.

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The relationship between vasoactive-inotropic score and mortality in the adult patients with traumatic brain injury managed in the intensive care unit

Turkish Neurosurgery ◽

10.5137/1019-5149.jtn.25177-18.1 ◽

2018 ◽

Author(s):

Iskender Kara ◽

Mehmet Sargin ◽

Yesim Serife Bayraktar ◽

Mert Sahinoglu ◽

Gurban Ildarov ◽

...

Keyword(s):

Intensive Care Unit ◽

Traumatic Brain Injury ◽

Intensive Care ◽

Brain Injury ◽

Adult Patients ◽

Inotropic Score ◽

Vasoactive Inotropic Score ◽

The Relationship

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A population-based study on epidemiology of intensive care unit treated traumatic brain injury in Iceland

Acta Anaesthesiologica Scandinavica ◽

10.1111/aas.12869 ◽

2017 ◽

Vol 61 (4) ◽

pp. 408-417 ◽

Cited By ~ 4

Author(s):

G. M. Jonsdottir ◽

S. H. Lund ◽

B. Snorradottir ◽

S. Karason ◽

I. H. Olafsson ◽

...

Keyword(s):

Intensive Care Unit ◽

Traumatic Brain Injury ◽

Intensive Care ◽

Brain Injury ◽

Population Based ◽

Population Based Study

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Risk Factors Associated With Pressure Ulcers in Patients With Traumatic Brain Injury Admitted to the Intensive Care Unit

Clinical Nursing Research ◽

10.1177/10547738211050489 ◽

2021 ◽

pp. 105477382110504

Author(s):

Jeong Eun Yoon ◽

Ok-Hee Cho

Keyword(s):

Risk Factors ◽

Intensive Care Unit ◽

Traumatic Brain Injury ◽

Intensive Care ◽

Brain Injury ◽

Medical Records ◽

Injury Severity ◽

University Hospital ◽

Factors Associated ◽

Braden Scale

Pressure injuries (PIs) are one of the most important and frequent complications in patients admitted to the intensive care unit (ICU) or those with traumatic brain injury (TBI). The purpose of this study was to determine the incidence and risk factors of PIs in patients with TBI admitted to the ICU. In this retrospective study, the medical records of 237 patients with TBI admitted to the trauma ICU of a university hospital were examined. Demographic, trauma-related, and treatment-related characteristics of all the patients were evaluated from their records. The incidence of PIs was 13.9%, while the main risk factors were a higher injury severity score, use of mechanical ventilation, vasopressor infusion, lower Braden Scale score, fever, and period of enteral feeding. This study advances the nursing practice in the ICU by predicting the development of PIs and their characteristics in patients with TBI.

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