Predictors of Mortality Among Patients With Head Trauma
Ayman Mahmoud Alsayes
140 participants
Jun 1, 2024
OBSERVATIONAL
Conditions
Summary
Evaluate the usefulness of the APACHE II (Acute Physiology and Chronic Health Evaluation II), RTS (Revised trauma score), GCS (Glasgow Coma Scale) scores and various variables as age, sex, lab.data and complications in predicting mortality of patients with traumatic brain injury (TBI) in the intensive care unit (ICU).
Eligibility
Inclusion Criteria1
- All patients with acute traumatic brain injury older than 16 years where presented in emergency department within 24 hours of trauma with a Glasgow coma scale less than 15
Exclusion Criteria4
- o Post cardiac arrest
- Patients with GCS=3.
- Patients with associated advanced cervical spine, maxillofacial, severe chest trauma.
- Patients with previous neurological disorders
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Interventions
A: Parameters on admission: * Age. * Sex. * Comorbidities (DM, HTN, CKD, IHD, Liver Disease) * Mode of trauma. * Laboratory data (RBS, INR, AST, ALT, Urea, Creatinine, WBC ,HB, CK, Myoglobin). * Ct brain findings. * Scoring system (GCS, RTS, APACHE II). B: Parameters after 2 weeks: * Days on Mechanical Ventilation. * Medical or surgical management. * Complications (Pneumonia, DVT, septic shock, Pulmonary embolism, ARDS).
Locations(1)
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NCT06922396