Abstract:
:The purpose of this study was to compare the effect of PbtO2-guided therapy with traditional intracranial pressure- (ICP-) guided treatment on the management of cerebral variables, therapeutic interventions, survival rates, and neurological outcomes of moderate and severe traumatic brain injury (TBI) patients. From 2009 to 2010, TBI patients with a Glasgow coma scale <12 were recruited from 6 collaborative hospitals in northern Taiwan, excluding patients with severe systemic injuries, fixed and dilated pupils, and other major diseases. In total, 23 patients were treated with PbtO2-guided management (PbtO2 > 20 mmHg), and 27 patients were treated with ICP-guided therapy (ICP < 20 mmHg and CPP > 60 mmHg) in the neurosurgical intensive care unit (NICU); demographic characteristics were similar across groups. The survival rate in the PbtO2-guided group was also significantly increased at 3 and 6 months after injury. Moreover, there was a significant correlation between the PbtO2 signal and Glasgow outcome scale-extended in patients from 1 to 6 months after injury. This finding demonstrates that therapy directed by PbtO2 monitoring is valuable for the treatment of patients with moderate and severe TBI and that increasing PaO2 to 150 mmHg may be efficacious for preventing cerebral hypoxic events after brain trauma.
journal_name
Biomed Res Intjournal_title
BioMed research internationalauthors
Lin CM,Lin MC,Huang SJ,Chang CK,Chao DP,Lui TN,Ma HI,Liu MY,Chung WY,Shih YH,Tsai SH,Chiou HY,Lin MR,Jen SL,Wei L,Wu CC,Lin EY,Liao KH,Chiang YH,Chiu WT,Lin JWdoi
10.1155/2015/529580subject
Has Abstractpub_date
2015-01-01 00:00:00pages
529580eissn
2314-6133issn
2314-6141journal_volume
2015pub_type
杂志文章,随机对照试验abstract::Enzymes play important roles in most of the biological processes. Although only a small fraction of residues are directly involved in catalytic reactions, these catalytic residues are the most crucial parts in enzymes. The study of the fundamental and unique features of catalytic residues benefits the understanding of...
journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2013/802945
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journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2015/958302
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journal_title:BioMed research international
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doi:10.1155/2018/5862571
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journal_title:BioMed research international
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journal_title:BioMed research international
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journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2014/386265
更新日期:2014-01-01 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章,评审
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journal_title:BioMed research international
pub_type: 临床试验,杂志文章
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journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2016/8502873
更新日期:2016-01-01 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章,meta分析,评审
doi:10.1155/2017/6274854
更新日期:2017-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2018-07-09 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2017/8568459
更新日期:2017-01-01 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章,评审
doi:10.1155/2014/350195
更新日期:2014-01-01 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2018/1871598
更新日期:2018-05-30 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2017/6753831
更新日期:2017-01-01 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2014/260210
更新日期:2014-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:BioMed research international
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pub_type: 杂志文章
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更新日期:2020-06-03 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2019/5937635
更新日期:2019-11-27 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章
doi:10.1155/2015/406389
更新日期:2015-01-01 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章,随机对照试验
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更新日期:2013-01-01 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章
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更新日期:2018-05-30 00:00:00
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journal_title:BioMed research international
pub_type: 杂志文章
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journal_title:BioMed research international
pub_type: 杂志文章,评审
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更新日期:2013-01-01 00:00:00
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journal_title:BioMed research international
pub_type: 临床试验,杂志文章
doi:10.1155/2013/912413
更新日期:2013-01-01 00:00:00