Abstract:
BACKGROUND:Prevention of secondary brain injury is a key component of acute management of patients with severe traumatic brain injury (TBI). Haemoglobin concentration may have an impact on optimization of cerebral oxygenation. Patients with TBI may best be served by an organized trauma service. The objective is to determine if haemoglobin concentration or dedicated trauma admission has an impact on outcomes after severe TBI. METHODS:This study retrospectively analysed consecutive patients with severe TBI admitted to a level-I trauma centre over 3 years. Patients <16 years-old and with length of stay (LOS) <24 hours were excluded. Data were collected on demographics; injury severity; LOS; admission service; survival to discharge; and haemoglobin levels from hospital days 1-7. Data were also collected on number of transfusions of packed red blood cells. The sample was stratified based on admission service and survival to discharge. RESULTS:Of 147 patients (age = 54.1 ± 3.7 years), overall mortality rate was 15.4% (n = 23). Overall, non-survivors had lower daily and 7-day mean haemoglobin levels (10.7 ± 0.9 vs. 12.9 ± 0.4 g dL(-1), p < 0.001). Non-surgical admissions had lower haemoglobin levels and a higher mortality rate (28.9% vs. 12.2%, p < 0.001) compared to dedicated trauma admissions. CONCLUSIONS:Among patients with severe TBI, higher haemoglobin levels and maintenance as a dedicated trauma admission are associated with higher survival to discharge.
journal_name
Brain Injjournal_title
Brain injuryauthors
Baltazar GA,Pate AJ,Panigrahi B,Sharp A,Smith M,Chendrasekhar Adoi
10.3109/02699052.2015.1004558subject
Has Abstractpub_date
2015-01-01 00:00:00pages
607-11issue
5eissn
0269-9052issn
1362-301Xjournal_volume
29pub_type
杂志文章相关文献
BRAIN INJURY文献大全abstract:OBJECTIVE:To determine knowledge, attitudes, and behavior toward concussion in cyclists and to identify predictors of concussion knowledge. METHODS:Cycling organizations sent members a web link to online information about the study and a questionnaire. Anyone aged >16 years, living in New Zealand and engaged in a cycl...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699052.2020.1793386
更新日期:2020-07-28 00:00:00
abstract:OBJECTIVE:We assessed for change in the number of admissions, demographics, mechanism, severity, operative management, length of stay, and in-hospital mortality of Traumatic Brain Injury (TBI) in patients admitted to a Neurosurgical Unit (NSU) in the Republic of Ireland in 2017 compared to 25 years previously. METHOD:...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699052.2020.1824299
更新日期:2020-10-14 00:00:00
abstract:BACKGROUND:Impairments in social competence are among the most prevalent sequelae of traumatic brain injury and present a major barrier to a person returning to a productive life. The recent increased incidence of TBI among military personnel and the subsequent difficulties these individuals face reintegrating into soc...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699052.2010.506866
更新日期:2010-01-01 00:00:00
abstract:PRIMARY OBJECTIVE:Patients with traumatic brain injury (TBI) have difficulty dealing with the social world and may display inappropriate social behavior that negatively affects their social and occupational rehabilitation. This difficulty may be explained by a social problem-solving (SPS) impairment, but little is yet ...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699052.2018.1531306
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The apolipoprotein E gene (APOE) has emerged as a candidate for prognosticating traumatic brain injury (TBI) recovery, with APOEε4 identified as a susceptibility marker for poor outcome, despite large discrepancy in its reported influence post-TBI. METHODS:A systematic review was conducted, including all pr...
journal_title:Brain injury
pub_type: 杂志文章,评审
doi:10.3109/02699052.2015.1005131
更新日期:2015-01-01 00:00:00
abstract::Impairments in judging and responding to consequences that follow behaviour are often attributed to changes in various cognitive processes. An alternative conceptualization is that impairments may produce a reduction in sensitivity to reinforcement contingencies. The present investigation employed a methodology common...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990500120475
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVES:To determine what is the use of time and physical activity in people undertaking inpatient rehabilitation in a specialised brain injury unit. To determine participants' level of independence related to the use of time and physical activity. METHODS:Design: Cross-sectional observation study. PARTICIPANTS:Fo...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699052.2018.1463454
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:Determine whether spurious SCL 90-R profiles resulting from endorsement of neurologic treatment items can be corrected and still retain ecological validity. DESIGN:The proportion of subjects' item endorsement was compared with the adult non-patient norm group. Items with discriminative power (chi 2 > 25, p <...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990598122025
更新日期:1998-11-01 00:00:00
abstract:PRIMARY OBJECTIVE:The aim of the present study was to evaluate the association of contractures with an increase or reduction of non-spastic muscle overactivity due to severe cerebral damage. METHODS AND PROCEDURES:Forty-five patients with tetraparesis after severe cerebral damage were investigated. Three groups were d...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050701311109
更新日期:2007-04-01 00:00:00
abstract::This study examined an operational conditioning paradigm designed to train procedural learning channels in a patient with anoxic encephalopathy. Prior to treatment the patient had been incontinent to bowel and bladder incontinent, minimally participant in daily activities and aggressive toward staff and residents for ...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990597123115
更新日期:1997-10-01 00:00:00
abstract::The use of linear measurements in the analysis of CT scans of TBI patients was found to contribute to the understanding of brain damage and were correlated with outcome in severe traumatic close brain injured patients. The purpose of the present study was to analyse the data obtained by the linear measurements on CT s...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990597122936
更新日期:1997-12-01 00:00:00
abstract:PRIMARY OBJECTIVE:To examine the role played by two interviewing methods used in the evaluation of acute self-reported symptoms after a mild traumatic brain injury (mTBI). METHOD AND PROCEDURES:A cohort of 354 mTBI-adult participants was recruited over a period of 36 months in emergency rooms of five Canadian trauma h...
journal_title:Brain injury
pub_type: 杂志文章,多中心研究
doi:10.3109/02699052.2010.531881
更新日期:2011-01-01 00:00:00
abstract::We retrospectively reviewed the charts of 12 subjects with brain injury who were treated with amantadine. Ten of the 12 subjects exhibited some improvement in cognitive and/or physical function while on amantadine. Areas most consistently showing improvement included focused and sustained attention and concentration, ...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699059409151025
更新日期:1994-11-01 00:00:00
abstract:OBJECTIVES:The risk factors and incidence of deep venous thrombosis were studied in a population of para- and tetraparesic patients institutionalized for long durations. METHODS:Retrospectively, the antecedents and risk factors of deep venous thrombosis were collected for each patient. RESULTS:Data were available for...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050110088236
更新日期:2001-12-01 00:00:00
abstract::The neuropsychological functioning of a group of 65 adults with severe traumatic brain injury was assessed at 6 months and 1 year post-injury. The cognitive domains assessed were pre-morbid intellectual level, current level of general intellectual functioning, simple and complex attention, verbal memory, executive fun...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050010005887
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:This study presents a patient with a stroke who had total paralysis of his left-side limbs after intracranial haemorrhaging, who later experienced partial weakness of the right-side limbs after a subdural hygroma. Both conditions occurred without major trauma. He received two separate operations, a craniotom...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699052.2011.571228
更新日期:2011-01-01 00:00:00
abstract:PRIMARY OBJECTIVE:To define the prognostic value of head computed tomography (CT) in patients suffering from SICH after 3 years of follow-up. RESEARCH DESIGN AND METHODS:Between January 2011 and May 2012, consecutive patients with SICH who underwent brain CT scans within the first 12 hours of presentation were prospec...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699052.2016.1199909
更新日期:2016-01-01 00:00:00
abstract:PRIMARY OBJECTIVE:To assess the criterion and construct validity and inter-rater reliability of the Czech version of the Mississippi Aphasia Screening Test (MASTcz). RESEARCH DESIGN:Prospective evaluation of consecutive inpatients admitted to the stroke unit of a university hospital within 60 days of onset of a unilat...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050802372190
更新日期:2008-09-01 00:00:00
abstract::The potential clinical and financial advantages of providing neurorehabilitation directly in patients' homes and communities have recently been discussed. However, the specific characteristics and outcomes of a coordinated, interdisciplinary, home-based programme does not currently exist in the rehabilitation literatu...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990599121430
更新日期:1999-07-01 00:00:00
abstract::Background: The Convergence Insufficiency Symptom Survey (CISS) is being utilized as an assessment measure following concussion despite minimal research. This study explored the sensitivity and specificity of the CISS in identifying receded near point of convergence (NPC) post-concussion. Methods: Prospective study of...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699052.2019.1658131
更新日期:2019-01-01 00:00:00
abstract:PRIMARY OBJECTIVE:The purpose of this study was to explore and extend previous findings that training with variant items improves generalization performance on novel semantic sentences in an individual with amnesia. RESEARCH DESIGN:A case study of an individual with severe amnesia, Patient T.E., who participated in an...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050801953081
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:Hyperoxia is associated with adverse outcome in severe traumatic brain injury (TBI). This study explored differences in patient classification of oxygen exposure by PaO2 cutoff and cumulative area-under-the-curve (AUC) analysis. METHODS:Retrospective, explorative study including children (<18 years) with acc...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699052.2020.1765021
更新日期:2020-06-06 00:00:00
abstract::Brain injury causing dysthermia has appeared to be not uncommon in institutionalized people with mental retardation. We sought to determine the characteristics and risks of patients of one institution. Of 1100 residents surveyed over 10 years 92 were reported to have unexplained high or low body temperatures, and 48 w...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699059409150999
更新日期:1994-07-01 00:00:00
abstract::This paper describes a conceptual model for treatment of the externalizing behavioural sequelae to an acquired brain injury and discusses relevant research. Use of the model by practitioners should lead to sophisticated and minimally intrusive intervention. In the model, there are two different categories of approache...
journal_title:Brain injury
pub_type: 杂志文章,评审
doi:10.1080/026990599121232
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVE:Mild traumatic brain injury (mTBI) accounts for more than 75% of traumatic brain injuries every year. This study examines the temporal association between non-blast mTBI and the onset of neurologic sequelae to illuminate risks of post-concussive syndrome, epilepsy and chronic pain. METHODS:A large historical...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699052.2014.989904
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:In work with chronic stroke patients the authors observed that patients frequently appear sleepy and often comment on their poor sleep. Sleep difficulties are frequently reported and indeed clinically recognized in the acute phase post-stroke, but little is known about the sleep and daytime sleep...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050802189727
更新日期:2008-07-01 00:00:00
abstract::There are few clinical tools available to assess communication skills following closed-head injury. This paper describes one such task in which the subject is required to explain a board game to a naive listener. The explanation is taped, transcribed and the content is quantified. Reliability studies demonstrated that...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699059509008197
更新日期:1995-04-01 00:00:00
abstract::Methyl bromide (MB) is a pesticide used primarily as a fumigating agent for homes, storage vehicles and soil. Chronic exposure to MB is known to cause damage to the central nervous system and other organs. Previously published post-mortem studies have also revealed significant brain abnormalities in patients whose dea...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699059409150961
更新日期:1994-01-01 00:00:00
abstract::This case history describes the successful use of a commercially available memory book by a brain injury survivor, including a description of the characteristics which made the book acceptable. Implications of the normalization principle for memory rehabilitation are also discussed. ...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699059309008160
更新日期:1993-01-01 00:00:00
abstract::We report a patient who exhibited Gerstmann's syndrome in association with a chronic subdural haematoma. A 71-year-old right-handed woman presented with mild right arm and leg weakness that began 2 weeks prior to admission. Neurological examination on admission revealed a mild right hemiparesis. Neuropsychological exa...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990598122250
更新日期:1998-08-01 00:00:00