Prognostic Impact of Intracranial Pressure Monitoring in Patients with Severe Traumatic Brain Injury
Arq. bras. neurocir
; 37(4): 291-296, 15/12/2018.
Artigo
em Inglês
| LILACS
| ID: biblio-1362643
Biblioteca responsável:
BR1.1
ABSTRACT
Objectives The aim of the present study was to analyze the prognostic impact of intracranial pressure (ICP) monitoring in patients with severe traumatic brain injury (TBI). Methods An observational, retrospective and quantitative study was performed. The sample consisted of 246 patients diagnosed with severe TBI, from January 2009 to August 2017. Results Out of the total sample, 43.56% of the patients were submitted to ICP monitoring. The mean time of use of the catheter was 1.7 days. In both groups, males were the most affected, and the majority of the patients were < 50 years old. Automobile accident was the main etiology of TBI. In the initial clinical evaluation, mydriatic pupils were related to death and normal pupil reaction at hospital discharge. Themonitored group performed a larger number of computed tomography (CT) scans, with amean of 2.6 examinations,with cerebral edema being the most common finding. Regarding the prognosis, those who used a catheter for ICP monitoring had a 47% reduction in the chance of death when compared with those who did not use the catheter. The stay duration both in the hospital and in the intensive care units was higher in patients who underwent ICP monitoring; periods > 30 days were related to meningitis, especially in those who used the catheter. Conclusion Patients who used a catheter for ICP monitoring had a significant improvement in survival.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
Problema de saúde:
Meta 3.6: Reduzir as mortes e traumatismos por acidentes de transito
/
Meningite
Base de dados:
LILACS
Assunto principal:
Prognóstico
/
Acidentes de Trânsito
/
Pressão Intracraniana
/
Lesões Encefálicas Traumáticas
/
Tempo de Internação
/
Monitorização Fisiológica
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adolescente
/
Adulto
/
Idoso
/
Idoso, 80 anos ou mais
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Arq. bras. neurocir
Assunto da revista:
Cirurgia
/
Neurocirurgia
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Department of Health Sciences with Emphasis on Biostatistics and Epidemiology, Translational Biomedicine Laboratory, Research Group on Applied Quantitative Methods, Universidade do Extremo Sul Catarinense/BR
/
Department of Medicine, Academic Unit of Health Sciences, Universidade do Extremo Sul Catarinense/BR
/
Department of Medicine, Universidade do Extremo Sul Catarinense/BR