scholarly journals Variation in the practice of tracheal intubation in Europe after traumatic brain injury: a prospective cohort study

Anaesthesia ◽  
2019 ◽  
Vol 75 (1) ◽  
pp. 45-53 ◽  
Author(s):  
B. Y. Gravesteijn ◽  
C. A. Sewalt ◽  
A. Ercole ◽  
F. Lecky ◽  
D. Menon ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Cohort Study ◽  
Brain Injury ◽  
Tracheal Intubation ◽  
Prospective Cohort Study ◽  
Prospective Cohort

scholarly journals Effect of Pre-Hospital Intubation in Patients with Severe Traumatic Brain Injury on Outcome: A Prospective Cohort Study

2019 ◽  
Vol 8 (4) ◽  
pp. 470 ◽  
Author(s):  
Caroline Choffat ◽  
Cecile Delhumeau ◽  
Nicolas Fournier ◽  
Patrick Schoettker
Keyword(s):  
Risk Factors ◽  
Traumatic Brain Injury ◽  
Cohort Study ◽  
Brain Injury ◽  
Prospective Cohort Study ◽  
Severe Traumatic Brain Injury ◽  
Prospective Cohort ◽  
Injury Severity ◽  
Impaired Consciousness ◽  
Pupil Reaction

Secondary injuries are associated with bad outcomes in the case of severe traumatic brain injury (sTBI). Patients with a Glasgow Coma Scale (GCS) < 9 should undergo pre-hospital intubation (PHI). There is controversy about whether PHI is beneficial. The aim of this study was to estimate the effect of PHI in patients after sTBI. A multicenter, prospective cohort study was performed in Switzerland, including 832 adults with sTBI. Outcomes were death and impaired consciousness at 14 days. Associations between risk factors and outcomes were assessed with univariate and multivariate Cox models for survival, and univariate and multivariate regression models for impaired consciousness. Potential risk factors were age, GCS on scene, pupil reaction, Injury Severity Score (ISS), PHI, oxygen administration, and type of admission to trauma center. Age, GCS on scene < 9, abnormal pupil reaction and ISS ≥ 25 were associated with mortality. GCS < 9 and ISS ≥ 25 were correlated with impaired consciousness. PHI was overall not associated with short-term mortality and consciousness. However, there was a significative interaction with PHI and major trauma. PHI improves outcome from patients with sTBI and an ISS ≥ 25.

scholarly journals Mood after Moderate and Severe Traumatic Brain Injury: A Prospective Cohort Study

PLoS ONE ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. e87414 ◽  
Author(s):  
Linda Valk-Kleibeuker ◽  
Majanka H. Heijenbrok-Kal ◽  
Gerard M. Ribbers
Keyword(s):  
Traumatic Brain Injury ◽  
Cohort Study ◽  
Brain Injury ◽  
Prospective Cohort Study ◽  
Severe Traumatic Brain Injury ◽  
Prospective Cohort

scholarly journals Pediatric traumatic brain injury in Zimbabwe: A prospective cohort study

2021 ◽  
Vol 20 (1) ◽  
pp. 88-95
Author(s):  
Kantenga Dieu Merci Kabulo ◽  
◽  
Ulrick Sidney Kanmounye ◽  
Sarah Mutomb ◽  
Patrice Ntenga ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Cohort Study ◽  
Brain Injury ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Motor Vehicle ◽  
Initial Period ◽  
Common Symptom ◽  
Good Recovery ◽  
Convenience Sample

Background. Traumatic brain injury (TBI) imposes an enormous burden on health systems and it is the most frequent cause of hospitalization in children. This study aimed at describing the causes, presentation, management, and outcome of children with TBI admitted at a tertiary referral hospital in Harare, Zimbabwe. Methods. This prospective cohort study was conducted with a convenience sample of children aged ≤ 12 years and admitted with TBI at the study site from June 2018 to May 2019. The children were followed from their admission to one-month post-discharge. Sociodemographic, clinical, and neuroimaging data were collected. The median length of stay was calculated and the Chi-square, Fisher’s exact, and Kruskal Wallis tests were used. Results. 84 children with TBI were recruited. Most were males (66.7%) and (56.0%) had sustained TBI following a motor vehicle accident. An initial period of loss of consciousness that lasted a median of 6.5 (IQR = 4.8) hours was noted in 60.7% of patients. The most common symptom at presentation was headache (61.9%), and mild TBI was the most common type of TBI. Skeletal injuries were the most encountered associated injuries (13.1%) and the majority of patients were managed non-operatively – 79 (94.0%). Most patients (56.0%) experienced upper good recovery at one-month follow-up. Conclusions. Motor vehicle accidents are the main cause of pediatric TBI in Zimbabwe. Most patients do not require surgical treatment and have a good recovery.

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