Статья

37th International Symposium on Intensive Care and Emergency Medicine (part 2 of 3)

Daniel RobFirst Faculty of Medicine, Charles University and General University Hospital, Prague, Czech RepublicR. ŠpundaFirst Faculty of Medicine, Charles University and General University Hospital, Prague, Czech RepublicJaroslav LindnerFirst Faculty of Medicine, Charles University and General University Hospital, Prague, Czech RepublicJana ŠmalcováFirst Faculty of Medicine, Charles University and General University Hospital, Prague, Czech RepublicOndřej ŠmídFirst Faculty of Medicine, Charles University and General University Hospital, Prague, Czech RepublicTomáš KovárníkFirst Faculty of Medicine, Charles University and General University Hospital, Prague, Czech RepublicAleš LinhartFirst Faculty of Medicine, Charles University and General University Hospital, Prague, Czech RepublicJ. BìlohlávekFirst Faculty of Medicine, Charles University and General University Hospital, Prague, Czech RepublicMarinella MarinoniUniversity of Florence, Florence, ItalyGiovanni CianchiCareggi Teaching Hospital, Florence, ItalySandra TrapaniCareggi Teaching Hospital, Florence, ItalyMaria Luisa MigliaccioCareggi Teaching Hospital, Florence, ItalyL. GucciCareggi Teaching Hospital, Florence, ItalyManuela BonizzoliCareggi Teaching Hospital, Florence, ItalyAntonella CramaroCareggi Teaching Hospital, Florence, ItalyMario CozzolinoCareggi Teaching Hospital, Florence, ItalyS. ValenteCareggi Teaching Hospital, Florence, ItalyA PerisCareggi Teaching Hospital, Florence, ItalyEdgars GrinsScania Univ Hospital Lund, Lund, SwedenEric J. KortSpectrum Health Hospitals, Grand Rapids, MI, USAMatthew WeilandVan Andel Institute, Grand Rapids, MI, USAN. Manandhar ShrestaSpectrum Health Hospitals, Grand Rapids, MI, USAPatricia M. DavidsonVan Andel Institute, Grand Rapids, MI, USALars AlgotssonScania Univ Hospital Lund, Lund, SwedenStephen FitchSpectrum Health Hospitals, Grand Rapids, MI, USAG. MarcoSpectrum Health Hospitals, Grand Rapids, MI, USAJamie SturgillSpectrum Health Hospitals, Grand Rapids, MI, USAS. LeeSpectrum Health Hospitals, Grand Rapids, MI, USAMichael G. DickinsonSpectrum Health Hospitals, Grand Rapids, MI, USATheodore BoeveSpectrum Health Hospitals, Grand Rapids, MI, USAA. KhaghaniSpectrum Health Hospitals, Grand Rapids, MI, USAP. WiltonSpectrum Health Hospitals, Grand Rapids, MI, USAStefan JovingeSpectrum Health Hospitals, Grand Rapids, MI, USAA. N. AhmadKing´s College Hospital, London, UKRobert LoveridgeKing´s College Hospital, London, UKSavvas VlachosKing´s College Hospital, London, UKS. PatelKing´s College Hospital, London, UKElton GelandtKing´s College Hospital, London, UKL. MorganKing´s College Hospital, London, UKShamaila ButtKing´s College Hospital, London, UKM. WhitehorneKing´s College Hospital, London, UKVivek KakarKing´s College Hospital, London, UKC. ParkKing´s College Hospital, London, UKMichelle HayesKing´s College Hospital, London, UKChris WillarsKing´s College Hospital, London, UKTom HurstKing´s College Hospital, London, UKTony BestKing´s College Hospital, London, UKAndré VercueilKing´s College Hospital, London, UKG. AuzingerKing´s College Hospital, London, UKB. AdibelliAnkara Baskent Hospital, Ankara, TurkeyN. AkovaliAnkara Baskent Hospital, Ankara, TurkeyAdnan TorgayAnkara Baskent Hospital, Ankara, TurkeyPınar ZeyneloğluAnkara Baskent Hospital, Ankara, TurkeyA. PiratAnkara Baskent Hospital, Ankara, TurkeyZeynep KayhanAnkara Baskent Hospital, Ankara, TurkeySimon SchmidbauerSkåne University Hospital, Lund, SwedenJohan HerlitzPreHospen, University of Borås, The Pre-hospital Research Centre of Western Sweden, Borås, SwedenThomas KarlssonHealth Metrics, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenHans FribergSkåne University Hospital, Lund, SwedenRihard KnafeljPeter RadšelFrédéric DuprezEpicura, Hornu, BelgiumT. BonusEpicura, Hornu, BelgiumG. CuvelierCondorcet, Tournai, BelgiumS. MashayekhiEpicura, Hornu, BelgiumM. MąkaEpicura, Hornu, BelgiumS. OllieuzEpicura, Hornu, BelgiumGrégory ReychlerReza MosaddeghIran University of Medical Sciences, Tehran, IranSaeed AbbasiIran University of Medical Sciences, Tehran, IranSaeed TalaeeIran University of Medical Sciences, Tehran, IranViviane ZotzmannHeart Center, Freiburg, GermanyDawid L. StaudacherHeart Center, Freiburg, GermanyTobias WengenmayerHeart Center, Freiburg, GermanyD. DürschmiedHeart Center, Freiburg, GermanyChristian BodeHeart Center, Freiburg, GermanyAnnika NelskyläHelsinki University Hospital, Helsinki, FinlandJouni NurmiHelsinki University Hospital and University of Helsinki, Helsinki, FinlandMilla JousiHelsinki University Hospital and University of Helsinki, Helsinki, FinlandAlexey SchramkoHelsinki University Hospital, Helsinki, FinlandElina E. MervaalaHelsinki University Hospital and University of Helsinki, Helsinki, FinlandGiuseppe RistagnoIstituto di Ricerche Farmacologiche "Mario Negri", Milan, ItalyMarkus B. SkrifvarsHelsinki University Hospital, Helsinki, FinlandGamze ÖzsoyAnkara Univercity, Ankara, TurkeyTanıl KendirliAnkara Univercity, Ankara, TurkeyEbru AzapağasıAnkara Univercity, Ankara, TurkeyOktay PerkAnkara Univercity, Ankara, TurkeyUlker GadirovaAnkara Univercity, Ankara, TurkeyE. OzcinarAnkara Univercity, Ankara, TurkeyM. CakiciAnkara Univercity, Ankara, TurkeyCaner BaranAnkara Univercity, Ankara, TurkeySerkan DurduAnkara Univercity, Ankara, TurkeyAdnan UysalelAnkara Univercity, Ankara, TurkeyMurat DoğanAnkara Univercity, Ankara, TurkeyMehmet Gökhan RamoğluAnkara Univercity, Ankara, TurkeyTayfun UçarAnkara Univercity, Ankara, TurkeyErcan TutarAnkara Univercity, Ankara, TurkeySemra AtalayAnkara Univercity, Ankara, TurkeyRüçhan AkarAnkara Univercity, Ankara, TurkeyMarlijn J. A. KampsRadboudumc, Nijmegen, Netherlands

Critical Carejournal2017en

ABI

Аннотация

Introduction: The aim of this study was to determine associated factors with lethal outcome also prediction of it in case of acute subdural hematoma (ASH) after isolated traumatic brain injury (ITBI). Methods: Retrospective analysis of 162 patients with ASH after ITBI treated in Neurosurgical Intensive Care Unit in Hospital Kaunas Clinics of Lithuanian University of Health Sciences during two years was carried out. Results: Sixty–seven patients (41%) of 162 have died with ASH after ITBI. Twelve patients (31%) of 39 have died in age group of < = 44 years, 16 patients (37%) of 43 in group of 45 – 54 years, 14 patients (36%) of 39 in group of 55 – 64 years, but 25 patients (61%) of 41 in group of > = 65 years, p < 0.003. Twenty–four patients (26%) of 93 have died with pupillary light reflex and 43 patients (62%) of 69 without of it, p < 0.001. Five patients (25%) of 20 have died in group of Glasgow Coma Scale (GCS) score 12 – 15, 5 patients (20%) of 25 in group of 9 – 11, but 57 patients (49%) of 117 in group of 3 – 8, p < 0.002. Twenty–one patient (28%) of 75 has died with white blood cell count <10.1 x 10 9/l, but 46 patients (53%) of 87 with > = 10.1 x 10 9/l, p < 0.001. Five patients (17%) of 30 have died with glycemia 3.3 – 5.5 mmol/l and 62 patients (47%) of 132 with glycemia > = 5.6 mmol/l, p < 0.001. One patient (5%) of 22 has died in group of APACHE II score < = 10 points, 12 patients (24%) of 50 in group of score 11 – 15, but 54 patients (60%) of 90 in group of score > = 16, p < 0.001. Fifty–two patients (63%) of 82 have died in the group of estimated lethal outcome risk >25%, p < 0.001 (0.95CI: 0.53 – 0.74) and prognostic test sensitivity was found to be 78%, specificity 76%. Conclusions: The mortality rate of acute subdural hematoma after isolated traumatic brain injury was 41%. Factors associated with lethal outcome were e. [...].

Темы

Intensive Care Unit Cognitive Disorders Respiratory Support and Mechanisms Anesthesia and Sedative Agents

Идентификаторы

DOI: 10.1186/s13054-017-1630-4

Цитирования и источники

Цитирований: 0Использованных источников: 41

Показатели — AkademScholar · Скоро