scholarly journals The Initial Factors with Strong Predictive Value in Relation to Six-Month Outcome among Patients Operated due to Extra-Axial Hematomas

Diagnostics ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 174 ◽  
Author(s):  
Bartłomiej Kulesza ◽  
Jakub Litak ◽  
Cezary Grochowski ◽  
Adam Nogalski ◽  
Radosław Rola
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Prognostic Value ◽  
Epidural Hematoma ◽  
Brain Injuries ◽  
Demographic Data ◽  
Traumatic Brain Injuries ◽  
Factors Affecting ◽  
Craniocerebral Injuries ◽  
Gcs Score

Introduction: Traumatic brain injuries (TBI) are a real social problem, with an upward trend worldwide. The most frequent consequence of a traumatic brain injury is extra-axial hemorrhage, i.e., an acute subdural (SDH) and epidural hematoma (EDH). Most of the factors affecting the prognosis have been analyzed on a wide group of traumatic brain injuries. Nonetheless, there are few studies analyzing factors influencing the prognosis regarding patients undergoing surgery due to acute subdural and epidural hematoma. The aim of this study was to identify the factors which have the strongest prognostic value in relation to the 6-month outcome of the patients undergoing surgery for SDH and EDH. Patients and methods: The study included a group of 128 patients with isolated craniocerebral injuries. Twenty eight patients were operated upon due to EDH, and a group of 100 patients were operated upon due to SDH. The following factors from the groups were analyzed: demographic data, physiological factors, laboratory factors, computed tomography scan characteristics, and time between the trauma and the surgery. All of these factors were correlated in a multivariate analysis with the six-month outcome in the Glasgow outcome scale. Results: The factors with the strongest prognostic value are GCS score, respiration rate, saturation, glycaemia and systolic blood pressure. Conclusion: Initial GCS score, respiratory rate, saturation, glycaemia and systolic blood pressure were the factors with the strongest prognostic value.

scholarly journals Initial Factors Affecting 6-month Outcome of Patients Undergoing Surgery for Acute Post-traumatic Subdural and Epidural Hematoma

Folia Medica ◽  
2020 ◽  
Vol 62 (1) ◽  
pp. 94-104 ◽  
Author(s):  
Bartłomiej Kulesza ◽  
Jakub Litak ◽  
Marek Mazurek ◽  
Adam Nogalski
Keyword(s):  
Epidural Hematoma ◽  
Brain Injuries ◽  
Demographic Data ◽  
Univariate Analysis ◽  
Acute Subdural Hematoma ◽  
Physiological Factors ◽  
Factors Affecting ◽  
Craniocerebral Injuries ◽  
Wide Group ◽  
Medical University

Introduction: The most frequent consequences of a traumatic brain injury are acute subdural (SDH) and epidural hematoma (EDH), which usually require a surgical treatment. Most of the factors affecting the prognosis have been analyzed on a wide group of traumatic brain injuries. Nonetheless, there are few studies analyzing factors influencing the prognosis regarding patients with EDH and SDH. The aim of the study is to identify factors which have prognostic value in relation to 6-month outcome of patients undergoing surgery for acute hematoma.   Patients and methods: The study included a group of 128 patients with isolated craniocerebral injuries. The patients were divided into two groups, namely a group of 28 patients operated on due to epidural hematoma and a group of 100 patients operated on due to acute subdural hematoma. All patients were operated and treated in the Department of Neurosurgery at the Medical University in Lublin from 1.10.2014 to 31.08.2017. The following factors from the groups were analyzed: demographic data, physiological factors, laboratory factors, computed tomography scan characteristics, and time between the trauma and the surgery. All the factors were correlated with six-month outcome in Glasgow outcome scale.   Results: The univariate analysis has confirmed the influence of many factors affecting the outcomes.   Conclusion: It is interesting that the factors such as GSC score, saturation, respiratory rate, and systolic blood pressure were associated with outcome with highly statistically significant differences in both group. These are factors that, with an appropriate treatment, could be normalized at the place of the accident.

Systolic Blood Pressure <110 mm Hg as a Threshold of Hypotension in Patients with Isolated Traumatic Brain Injuries

2020 ◽  
Author(s):  
Apostolos Gaitanidis ◽  
Kerry A. Breen ◽  
Lydia R. Maurer ◽  
Noelle N. Saillant ◽  
Haytham M.A. Kaafarani ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Brain Injuries ◽  
Traumatic Brain Injuries

The Predictive Role of Biochemical Plasma Factors in Patients with Severe Traumatic Brain Injuries

2019 ◽  
Vol 70 (5) ◽  
pp. 1754-1757
Author(s):  
Marius Toma Papacocea ◽  
Ioana Anca Badarau ◽  
Mugurel Radoi ◽  
Ioana Raluca Papacocea
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Blood Cell ◽  
Brain Injuries ◽  
Hematological Parameters ◽  
Group Versus ◽  
Public Health Problem ◽  
Traumatic Brain Injuries ◽  
High Rate ◽  
Control Group

Traumatic brain injuries (TBI) represent a high impact public health problem due to a high rate of death , long term disability and occurrence especially in young adults. Despite several promising animal studies, several parameters were proposed as biological markers and were assessed for this aim. Our study proposes the study of the early biochemical changes in association to hematological parameters for severe TBI patients prognosis. 43 patients with acute TBI were included in study based on clinical, laboratory and imagistic findings. The severity of the TBI was established by Glasgow Coma Scale GCS 3-8. In all patients were evaluated hematologic parameters (Red blood cell count - RBC, Hematocrit, blood Hemoglobin, White blood cell - WBC, Platelet count and biochemical parameters (glucose, urea, creatinine, electrolytes). Outcome was expressed as Glasgow Outcome Scale (GOS), between 1-5. Values were compared to control group -15 cases. Significant early differences in body temperature, heart rate, and systolic blood pressure were observed in TBI group versus control (p[0.05). After correlation, laboratory findings significantly associated to severe outcome - GOS = 1, 2 - (p[0.05) were plasma Na decrease and significant glucose increase. An early increase of temperature and decrease of Na may predict a severe outcome in patients with acute TBI; association with shifts in heart rate and blood pressure, imposes aggressive treatment measures.

scholarly journals ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME PASIEN CEDERA KEPALA DI IGD RSUD Prof. Dr. MARGONO SOEKARDJO PURWOKERTO

2016 ◽  
Vol 12 (3) ◽  
Author(s):  
Putra Agina Widyaswara Suwaryo ◽  
Titin Andri Wihastuti ◽  
Mukhamad Fathoni
Keyword(s):  
Blood Pressure ◽  
Developing Countries ◽  
Head Injury ◽  
Systolic Blood Pressure ◽  
Emergency Room ◽  
Dominant Factor ◽  
Injury Patient ◽  
Affect Patient Outcome ◽  
Gcs Score ◽  
Analytic Design

Trauma is one of the biggest causes of death in the world. Thousands of people died from trauma each years. Many trauma occur in developing countries or countries with low incomes. The survey carried out showed 90% of trauma occur in developing countries. Outcome head injury patients determined from the initial condition when the patient entered in the ER (Emergency Room). Analysis of the patient's condition will determine the appropriate nursing actions that affect patient outcome. The purpose of this study was to analyze factors associated with outcome head injury patients in ER Prof. Dr. Margono Soekardjo Purwokerto Hospital. This study is a prospective with observational analytic design. The sample in this study amounted to 56 people.The results of Spearman and coefficient contingency indicates that there is a relationship between initial GCS score (p = 0.000) and systolic blood pressure (p = 0.000)with a outcomes of head injury patient. There is no correlation between age (p = 0.478)respiratory rate (p = 0.956) and pulse (.318) with a outcomes of head injury patient. Analysis of logistic regression shows that systolic blood pressure (RR = 6.768) is the dominant factor associated with outcomes of head injury patient. Therefore, the need to improve the management hemodynamic of the patient's, especially blood pressure to prevent bad outcomes. Keywords: outcome, head injury, Emergency Room

scholarly journals Factors Affecting Mortality in Patients Admitted to the Hospital by Emergency Physicians despite Disagreement with Other Specialties

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Engin Ozakin ◽  
Arif Alper Cevik ◽  
Filiz Baloglu Kaya ◽  
Nurdan Acar ◽  
Fikri M. Abu-Zidan
Keyword(s):  
Blood Pressure ◽  
Logistic Regression ◽  
Systolic Blood Pressure ◽  
Logistic Regression Model ◽  
Admission Diagnosis ◽  
Emergency Physicians ◽  
Factors Affecting ◽  
Admission Decisions ◽  
Service Departments ◽  
Significant Factors

Background. Emergency physicians (EPs) face critical admission decisions, and their judgments are questioned in some developing systems. This study aims to define the factors affecting mortality in patients admitted to the hospital by EPs against in-service departments’ decision and evaluate EPs’ admission diagnosis with final discharge diagnosis. Methods. This is a retrospective analysis of prospectively collected data of ten consecutive years (2008–2017) of an emergency department of a university medical center. Adult patients (≥18 years-old) who were admitted to the hospital by EPs against in-service departments’ decision were enrolled in the study. Significant factors affecting mortality were defined by the backward logistic regression model. Results. 369 consecutive patients were studied, and 195 (52.8%) were males. The mean (SD) age was 65.5 (17.3) years. The logistic regression model showed that significant factors affecting mortality were intubation (p<0.0001), low systolic blood pressure (p=0.006), increased age (p=0.013), and having a comorbidity (p=0.024). There was no significant difference between EPs’ primary admission diagnosis and patient’s final primary diagnosis at the time of disposition from the admitted departments (McNemar–Bowker test, p=0.45). 96% of the primary admission diagnoses of EPs were correct. Conclusions. Intubation, low systolic blood pressure on presentation, increased age, and having a comorbidity increased the mortality. EPs admission diagnoses were highly correlated with the final diagnosis. EPs make difficult admission decisions with high accuracy, if needed.

Predialysis Systolic Blood Pressure Evolution in Incident Hemodialysis Patients: Effects of the Dry Weight Method and Prognostic Value

2012 ◽  
Vol 33 (4) ◽  
pp. 275-283 ◽  
Author(s):  
Charles Chazot ◽  
Cyril Vo-Van ◽  
Patrik Deleaval ◽  
Christie Lorriaux ◽  
Jean Marc Hurot ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Prognostic Value ◽  
Dry Weight ◽  
Hemodialysis Patients ◽  
Weight Method ◽  
Pressure Evolution
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