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Volume 7, Issue 3 (Summer 2021)
Iran J Neurosurg 2021, 7(3): 139-146 |
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Rimaz S, Zia Ziabari S M, Jabbari N, Pourmohammadi Z, Bagheri P, Rimaz S. Incidence and Outcomes of Acute Lung Injury in Patients With Isolated Traumatic Brain Injury. Iran J Neurosurg 2021; 7 (3) :139-146
URL: http://irjns.org/article-1-282-en.html
URL: http://irjns.org/article-1-282-en.html
Siamak Rimaz1 
, Seyyed Mahdi Zia Ziabari2 , Neshat Jabbari1 , Zahra Pourmohammadi3 , Parrisa Bagheri4 , Sheyda Rimaz * 5
, Seyyed Mahdi Zia Ziabari2 , Neshat Jabbari1 , Zahra Pourmohammadi3 , Parrisa Bagheri4 , Sheyda Rimaz * 5
1- Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
2- Department of Emergency Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
3- Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran
4- Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran
5- Student Research Committee, School of Medicine, Anzali International Campus, Guilan University of Medical Sciences, Rasht, Iran ,rimaz_sh@ymail.com
2- Department of Emergency Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
3- Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran
4- Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran
5- Student Research Committee, School of Medicine, Anzali International Campus, Guilan University of Medical Sciences, Rasht, Iran ,
Abstract: (2206 Views)
Background and Aim: Traumatic Brain Injury (TBI) is an essential cause of morbidity and mortality worldwide. TBI patients frequently encounter lung complications, such as Acute Lung Injury (ALI) and Acute Respiratory Distress Syndrome (ARDS), which is associated with poor clinical outcome because hypoxia causes additional injury to the brain. This study aimed to evaluate the frequency of ALI in patients with TBI and its consequences.
Methods and Materials/Patients: In this descriptive cross-sectional study, data from all records of patients admitted to Poursina Hospital’s ICU (emergency and neurosurgery ICU) in 20 18-2019 were used. The evaluated data included age, gender, type of head trauma mechanism, kind of brain injury based on CT scan findings, the severity of brain injury based on Glasgow Coma Scale (GCS), underlying diseases, mean head AIS score, the number of pack cell units injected, as well as bilateral pulmonary infiltration in favor of ALI and brain injury.
Results: Only 81 of the 557 TBI cases met the inclusion criteria of the present study. The highest frequency of ALI following TBI was observed on the first day of hospitalization, in men (0.41%) in the age group of 40-50 years (7%) with severe brain damage (6%) and subdural hematoma (12%), following a motorcycle accident, cars, as well as on the third day of hospitalization were seen in men (43.8%) with the age group of 20-30 years (55%) with severe brain damage (42%) and intra-parenchymal bleeding (57%), following a motorcycle accident. In addition, no significant correlation was detected between the incidence of ALI and mortality, the duration of hospitalization, GCS, mean head AIS score, or the extent of received blood units in our study.
Conclusion: According to the obtained findings, men aged between 20 and 30 years with severe cerebral injury, epidural hematoma and a motorcycle accident presented the highest rate of progression toward ALI in the first to third days of hospitalization.
Methods and Materials/Patients: In this descriptive cross-sectional study, data from all records of patients admitted to Poursina Hospital’s ICU (emergency and neurosurgery ICU) in 20 18-2019 were used. The evaluated data included age, gender, type of head trauma mechanism, kind of brain injury based on CT scan findings, the severity of brain injury based on Glasgow Coma Scale (GCS), underlying diseases, mean head AIS score, the number of pack cell units injected, as well as bilateral pulmonary infiltration in favor of ALI and brain injury.
Results: Only 81 of the 557 TBI cases met the inclusion criteria of the present study. The highest frequency of ALI following TBI was observed on the first day of hospitalization, in men (0.41%) in the age group of 40-50 years (7%) with severe brain damage (6%) and subdural hematoma (12%), following a motorcycle accident, cars, as well as on the third day of hospitalization were seen in men (43.8%) with the age group of 20-30 years (55%) with severe brain damage (42%) and intra-parenchymal bleeding (57%), following a motorcycle accident. In addition, no significant correlation was detected between the incidence of ALI and mortality, the duration of hospitalization, GCS, mean head AIS score, or the extent of received blood units in our study.
Conclusion: According to the obtained findings, men aged between 20 and 30 years with severe cerebral injury, epidural hematoma and a motorcycle accident presented the highest rate of progression toward ALI in the first to third days of hospitalization.
Type of Study: Research |
Subject:
Neurotrauma
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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