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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2018 / Cilt: 24 - Sayı: 3

Prediction of mortality in pediatric traumatic brain injury: Implementations from a tertiary pediatric intensive care facility

Çocukluk çağı kafa travması olgularında mortaliteye etki eden faktörler: Üçüncü basamak çocuk yoğun bakım ünitesi uygulamaları

Oğuz DURSUN
Ebru Atike ONGUN
Pages
199–206
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Axonal injury was associated with prolonged intubation, intensive care and hospital stay (p

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: To explore the mortality risk factors of traumatic brain injury in pediatric intensive care unit admissions.METHODS: Eighty-eight children (categorized using the Glasgow Coma Scale) between September 2014 and December 2016 wereanalyzed.
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Key Findings & Data:Emergency department and intensive care course, treatment strategies, axonal injury, intubation and tracheostomy rates,length of intensive care and hospitalization, Rotterdam-CT scores, injury severity scores, and PRISM-III scores were recorded.RESULTS: Older age was associated with trauma severity (p=0.010).
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Conclusion & Impact:Axonal injury was associated with prolonged intubation, intensive care and hospital stay (p
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: To explore the mortality risk factors of traumatic brain injury in pediatric intensive care unit admissions.METHODS: Eighty-eight children (categorized using the Glasgow Coma Scale) between September 2014 and December 2016 wereanalyzed. Emergency department and intensive care course, treatment strategies, axonal injury, intubation and tracheostomy rates,length of intensive care and hospitalization, Rotterdam-CT scores, injury severity scores, and PRISM-III scores were recorded.RESULTS: Older age was associated with trauma severity (p=0.010). Target serum osmolality was reached at 8.5 (3.5–40) hours in patientsundergoing anti-edema therapy. ICP-monitoring rates was 8%; in absence of ICP-monitorization clinical follow-up was performedthrough repeated brain tomographies. Axonal injury was associated with prolonged intubation, intensive care and hospital stay (p

Özet

AMAÇ: Çalışmanın amacı, travmatik beyin hasarı nedeniyle yoğun bakım yatışı yapılan çocuklarda morbidite ve mortaliteye etki eden faktörleri belirlemektir. GEREÇ VE YÖNTEM: Eylül 2014–Aralık 2016 arasında 88 hasta değerlendirildi. Glaskow koma skoruna göre üç grupta incelenen hastaların acil servis ve yoğun bakım süreçleri, verilen anti-ödem tedavileri, hedef serum ozmolariteye ulaşma süreleri, aksonal hasar varlığı, entübasyon, trakeostomi oranları, yoğun bakım ve hastane yatış süreleri, Rotterdam-CT skorlaması, travma şiddet ve PRISM–III skorları kayıt edildi. BULGULAR: Yaş arttıkça kafa travması şiddetinin arttığı görüldü (p=0.010). Beyin ödemi tedavisi alan hastalarda, hedef serum ozmolariteye (ölçülen) ulaşma zamanı 8.5 (3.5–40) saat idi. ICP monitorizasyon oranı %8 olup, monitorizasyon yapılamadığı durumda takiplerin tekrarlayan tomografiler ile yapıldığı ancak tedavi sürecini değiştirmediği saptandı. Aksonal hasarın entübasyon, yoğun bakım ve hastane yatış sürelerini uzattığı saptandı (p

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Cite This Article

DURSUN, O., ONGUN, E. A. (2022). Prediction of mortality in pediatric traumatic brain injury: Implementations from a tertiary pediatric intensive care facility. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 24 - Sayı: 3, 199–206. https://ajindex.com/articles/644336

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References (3)

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