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Acute subdural hematoma after isolated traumatic brain injury: associated factors and prediction of lethal outcome : [spausdintas pranešimas žurnale] / D Adukauskiene, J Cyziute, A Adukauskaite, L Malciene
Type of publication
Tezės kitoje duomenų bazėje / Theses in other database (T1c)
Author(s)
Innsbruck Medical University Hospital, Innsbruck, Austria | |
Title
Acute subdural hematoma after isolated traumatic brain injury: associated factors and prediction of lethal outcome : [spausdintas pranešimas žurnale] / D Adukauskiene, J Cyziute, A Adukauskaite, L Malciene
Publisher (trusted)
BioMed Central Ltd
Date Issued
2017-03-21
Extent
p. 56-56, no. P220.
Is part of
Critical care : 37th International Symposium on Intensive Care and Emergency Medicine : Brussels, Belgium 21-24 March 2017 : meeting abstracts / Departments of Intensive Care and Emergency Medicine of Erasme University Hospital, Universite Libre de Bruxelles. Belgian Society of Intensive Care and Emergency Medicine. London, UK : BioMed Central Ltd, 2017, vol. 21, suppl. 1.
Version
Originalus / Original
Field of Science
Abstract
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. [...].
Is Referenced by
Type of document
type::text::conference output::conference proceedings::conference paper
ISSN (of the container)
1364-8535
Other Identifier(s)
(LSMU ALMA)990000929180107106
Coverage Spatial
Belgija / Belgium (BE)
Language
Anglų / English (en)
Journal | Cite Score | SNIP | SJR | Year | Quartile |
---|---|---|---|---|---|
Critical Care | 10.6 | 2.259 | 2.48 | 2017 | Q1 |