Influence of severity of traumatic brain injury at hospital admission on clinical outcomes

• Main Authors: Thiago Henrique da Silva (Author), Thais Massetti (Author), Talita Dias da Silva (Author), Laercio da Silva Paiva (Author), Denise Cardoso Ribeiro Papa (Author), Carlos Bandeira de Mello Monteiro (Author), Fatima Aparecida Caromano (Author), Mariana Callil Voos (Author), Lucas Del Sarto Silva (Author)
• Format: Book
• Published: Universidade de São Paulo, 2018-03-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

ABSTRACT Traumatic brain injury (TBI) is a public health problem with high mortality and socioeconomic repercussions. We aimed to investigate the influence of TBI severity on the length of mechanical ventilation (MV) stay and length of hospital stay and on the prevalence of tracheostomy, pneumonia, neurosurgery and death. This retrospective, observational study evaluated medical records of 67 patients with TBI admitted to Irmandade da Santa Casa de Misericórdia de São Paulo. Severity was determined according to the Glasgow Coma Scale (GCS): mild (13-15 points; 36 patients; 53.7%), moderate (9-12 points; 14 patients; 20.9%) or severe (3-8 points; 17 patients; 25.4%). Severe TBI patients had higher prevalence of tracheostomy, pneumonia and neurosurgery. No significant differences were observed between TBI severity, mortality and length of MV stay. However, TBI severity influenced the length of hospital stay. TBI severity at admission, evaluated according to the GCS, influenced the prevalence of tracheostomy, pneumonia, neurosurgery and was associated to prolonged hospital stay.

Item Description

2316-9117
10.1590/1809-2950/17019225012018