Dergiler / Turkish Journal of Medical Sciences / 2016 / Cilt: 46 - Sayı: 1

Simvastatin's effects on survival and outcome in traumatic braininjury patients: a comparative study

Sayfa
1–5
Yayın Tarihi
2022-11-05
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Conclusion: Simvastatin could be suggested as an adjunctive therapy in traumatic brain injury patients.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Background/aim: Mortality and morbidity still remain high in patients with traumatic brain injuries.
📊
Temel Bulgular & Veri:The serum interleukin-6 and C-reactive protein levels were measured at the first 24 h and 48 h after trauma.
💡
Sonuç & Katkı:Conclusion: Simvastatin could be suggested as an adjunctive therapy in traumatic brain injury patients.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Background/aim: Mortality and morbidity still remain high in patients with traumatic brain injuries. Understanding the role of new treatments in these patients is critical. The aim of this study was to determine the effect of simvastatin on survival and outcome in traumatic brain injury patients. Materials and methods: Forty-four patients were assigned to receive either simvastatin or a placebo. The serum interleukin-6 and C-reactive protein levels were measured at the first 24 h and 48 h after trauma. All data, including the Glasgow Coma Scale score, survival at discharge, length of intensive care unit stay, and duration of mechanical ventilation, were collected. The effect of simvastatin on the collected data was then investigated. Results: The Glasgow Coma Scale level at discharge was significantly higher in the simvastatin group. The overall mortality rate, duration of mechanical ventilation, and length of intensive care unit stay were similar between the 2 groups. The C-reactive protein concentration 48 h after trauma was significantly lower in the simvastatin group, but there was no significant difference according to the interleukin-6 level 48 h after trauma between the 2 groups. Conclusion: Simvastatin could be suggested as an adjunctive therapy in traumatic brain injury patients.

🔖

Bu Makaleye Atıf Yap

NAGHIBI, T., MAZLOOMZADEH, S., DOBAKHTI, F., MADANI, S. (2022). Simvastatin's effects on survival and outcome in traumatic braininjury patients: a comparative study. Turkish Journal of Medical Sciences, Cilt: 46 - Sayı: 1, 1–5. https://ajindex.com/articles/610684

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (14)

  1. Leitgeb J, Mauritz W, Brazinova A, Majdan M, Wilbacher I. Outcome after severe brain trauma associated with epidural hematoma. Arch Orthop Trauma Su 2013; 133: 199–207
  2. Mercier E, Boutin A, Lauzier F, Fergusson DA, Simard JF, Zarychanski R, Moore L, McIntyre LA, Archambault P, Lamontagne F et al. Predictive value of S-100β protein for prognosis in patients with moderate and severe traumatic brain injury: systematic review and meta-analysis. Brit Med J 2013; 346: f1757
  3. Lenzlinger PM, Morganti-Kossmann MC, Laurer HL, McIntosh TK. The duality of the inflammatory response to traumatic brain injury. Mol Neurobiol 2001; 24: 169–181
  4. Schmidt OI, Heyde CE, Ertel W, Stahel PF. Closed head injury an inflammatory disease? Brain Res Rev 2005; 48: 388–399
  5. Ziebell JM, Morganti-Kossmann MC. Involvement of proand anti-inflammatory cytokines and chemokines in the pathophysiology of traumatic brain injury. Neurotherapeutics 2010; 7: 22–30
  6. Harbi S, Tamim L, Arabi Y. Association between statin therapy and outcome in critically ill patients. BMC Clin Pharmacol 2011; 11: 12–18
  7. Jansen JO, Lord JM, Thickett DR, Midwinter MJ, McAuley DF, Gao F. Clinical review: statins and trauma - a systematic review. Crit Care 2013; 17: 1–10
  8. Civil ID, Schwab CW. The Abbreviated Injury Scale, 1985 revision: a condensed chart for clinical use. J Trauma 1988; 28: 87–90
  9. Knaus WA, Draper EA, Wagner DP, Zimmermann JE. APACHE II: a severity of disease classification system. Crit Care Med 1985; 13: 818–829
  10. Hoch R, Rodriguez R, Manning T, Bishop M, Mead P, Shoemaker W, Abraham E. Effects of accidental trauma on cytokine and endotoxin production. Crit Care Med 1993; 21: 839–845
  11. Meisner M, Adina H, Schmidt J. Correlation of procalcitonin and C-reactive protein to inflammation, complications, and outcome during the intensive care unit course of multipletrauma patients. Crit Care 2006; 10: R1
  12. Wang KW, Chen HJ, Lu K, Liliang PC, Liang CL, Tsai YD, Cho CL. Simvastatin attenuates the cerebral vascular endothelial inflammatory response in a rat traumatic brain injury. Ann Clin Lab Sci 2014; 44: 145–50
  13. Wang KW, Wang HK, Chen HJ, Liliang PC, Liang CL, Tsai YD, Cho CL, Lu K. Simvastatin combined with antioxidant attenuates the cerebral vascular endothelial inflammatory response in a rat traumatic brain injury. Biomed Res Int 2014; 2014: 910260
  14. Sánchez-Aguilar M, Tapia-Pérez JH, Sánchez-Rodríguez JJ, Viñas-Ríos JM, Martínez-Pérez P, Cruz-Mendoza E, SánchezRey