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Bulletin of Emergency and Trauma، جلد ۱۰، شماره ۴، صفحات ۱۶۵-۱۷۱
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عنوان انگلیسی The Outcome Predictors of the Patients with Traumatic Brain Injury; A Cross-Sectional Study
چکیده انگلیسی مقاله Objective: To probe the factors associated with the outcomes of traumatic brain injury (TBI) patients admittedto emergency department (ED).Methods: This is a cross-sectional study that data gathering was performed via census methods, retrospectively.During one year, all head injury’s patients who admitted to the ED of a tertiary center in Tehran, Iran wereincluded. Age, gender, mechanism of injury, Glasgow coma scale (GCS) and injury severity score (ISS)on admission, presence of extra-cranial injuries, findings of brain computed tomography (CT), duration ofhospitalization, and in hospital outcomes were recorded. Outcome’s assessment for survivors was performedwithin a 6 months-period after discharge based on Glasgow outcome scale (GOS). The variables and outcomes’association were assessed.Results: Totally, 506 patients were evaluated with the mean age of 36.77±21.1 years that 411 (81.2%) were men.Follow up at 6-months post injury was feasible in 487 (96.2%) patients; 59 (11.7%) out of 506 eligible patientsdied. Logistic regression analysis showed the association between assessed variables and patients’ outcome asfollows: age>65 years (OR: 12.21; p< 0.001), GCS on admission < 8 (OR: 62.99; p< 0.001), presence of traumaticIntracerebral hemorrhage (ICH) in brain CT scan (OR: 20.11; p=0.010), duration of hospitalization ≥ 5 days(OR: 0.28; p=0.001).Conclusion: The findings of the current study distinguished some variables that were associated with thepoor outcome of the patients with TBI. Therefore, TBI patients with any of these risk factors may need closecontinues monitoring, early ICU admission, and some other special extra care in ED.
کلیدواژه‌های انگلیسی مقاله Emergency department, Glasgow outcome scale, Patient outcome assessment, Prognosis, Traumatic brain injuries (TBI)
نویسندگان مقاله Soheil Rafiee |
Infectious Diseases Research Center, Golestan University of Medical Sciences, Gorgan, Iran

Alireza Baratloo |
Research Center for Trauma in Police Operation, Directorate of Health, Rescue and Treatment, Police Headquarter, Tehran, Iran

Arash Safaie |
Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran

Alireza Jalali |
Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran

Khalil Komlakh |
Department of Neurosurgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

نشانی اینترنتی https://beat.sums.ac.ir/article_48652_95bdc83999463e497755819bc21aee7a.pdf
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