Save the patient a trip. Outcome difference between conservatively treated patients with traumatic brain injury in a nonspecialized intensive care unit vs a specialized neurosurgical intensive care unit in the Sultanate of Oman

Journal of Critical Care
Ammar M Al-KashmiriLaila A Al-Tamimi

Abstract

Traumatic brain injury (TBI) continues to be the main cause of death among trauma patients. Accurate diagnosis and timely surgical interventions are critical steps in reducing the mortality from this disease. For patients who have no surgically reversible head injury pathology, the decision to transfer to a dedicated neurosurgical unit is usually controversial. To compare the outcome of patients with severe TBI treated conservatively in a specialized neurosurgical intensive care unit (ICU) and those treated conservatively at a general ICU in the Sultanate of Oman. Retrospective cohort study. This is a retrospective study of patients with severe TBI admitted to Khoula Hospital ICU (specialized neurosurgical ICU) and Nizwa Hospital ICU (general ICU) in Oman in 2013. Surgically treated patients were excluded. Data extracted included demographics, injury details, interventions, and outcomes. The outcome variables included mortality, length of stay, length of ICU days, and ventilated days. There were 100 patients with severe TBI treated conservatively at Khoula Hospital compared with 74 patients at Nizwa Hospital. Basic demographics were similar between the 2 groups. No significant difference was found in mortality, length of stay, ...Continue Reading

References

May 7, 2004·The Journal of Trauma·Samir M FakhryUNKNOWN IRTC Neurotrauma Task Force
Nov 24, 2006·The Journal of Head Trauma Rehabilitation·Wesley Rutland-BrownYongli Lily Xi
Apr 17, 2007·Journal of Neurosurgery·Michael G Fehlings, Andrew Baker
Jul 19, 2008·Lancet Neurology·Andrew I R MaasRoss Bullock
Aug 30, 2008·Lancet·A David MendelowPeter J Hutchinson
Aug 5, 2009·BMC Emergency Medicine·Pablo PerelFiona Lecky
Apr 26, 2011·British Journal of Neurosurgery·G FullerF Lecky
May 23, 2013·The Journal of Trauma and Acute Care Surgery·Pierre BorczukYuchiao Chang
Dec 10, 2013·British Journal of Neurosurgery·Gordon FullerFiona Lecky

❮ Previous
Next ❯

Citations

Jul 25, 2007·Progress in Brain Research·W Dalton Dietrich, Helen M Bramlett
Jun 3, 2017·Neurocritical Care·Jonathan MarehbianDavid Y Hwang

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.