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

Authors

  • Thiago Henrique da Silva Universidade de São Paulo; Faculdade de Medicina; Graduate Program in Rehabilitation Sciences
  • Thais Massetti Universidade de São Paulo; Faculdade de Medicina; Graduate Program in Rehabilitation Sciences
  • Talita Dias da Silva Universidade Federal de São Paulo; Escola Paulista de Medicina; Graduate Program in Cardiology
  • Laercio da Silva Paiva Faculdade de Medicina do ABC; Department of Morphology and Physiology
  • Denise Cardoso Ribeiro Papa Universidade de São Paulo; Faculdade de Medicina; Graduate Program in Rehabilitation Sciences
  • Carlos Bandeira de Mello Monteiro Universidade de São Paulo; Faculdade de Medicina; Graduate Program in Rehabilitation Sciences
  • Fatima Aparecida Caromano Universidade de São Paulo; Faculdade de Medicina; Graduate Program in Rehabilitation Sciences
  • Mariana Callil Voos Universidade de São Paulo; Faculdade de Medicina; Graduate Program in Rehabilitation Sciences
  • Lucas Del Sarto Silva Irmandade da Santa Casa de Misericórdia de São Paulo

DOI:

https://doi.org/10.1590/1809-2950/17019225012018

Keywords:

Craniocerebral Trauma/mortality, Artificial Respiration, Bronchopneumonia, Tracheostomy

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.

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Published

2018-04-04

Issue

Vol. 25 No. 1 (2018)

Section

Original Research

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How to Cite

Influence of severity of traumatic brain injury at hospital admission on clinical outcomes. (2018). Fisioterapia E Pesquisa, 25(1), 3-8. https://doi.org/10.1590/1809-2950/17019225012018