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Cases of traumatic and nontraumatic brain damage have high rates of morbidity and mortality. In this study of cases being treated in the ICU for a diagnosis of brain damage, it was aimed to evaluate the relationship between mortality and the distribution of reason for and resulting type of brain damage and to determine other factors affecting mortality.
After local ethics committee approval, a total of 1004 patients treated in the ICU in a 2-year period were retrospectively reviewed. 135 patients, determined with traumatic or nontraumatic brain damage, with a more than 24-hour stay in the ICU, included the study. Reasons for brain damage were determined as brain damage associated with pure head trauma (Group HT), head trauma accompanying general body trauma (Group HT+GBT) and spontaneous haemorrhage (Group SH). The type of brain damage was defined from the radiological diagnosis as subarachnoid haemorrhage, intracranial haemorrhage (ICH), subdural haematoma(SDH), epidural haematoma(EDH), skull fracture, brain contusion or a combination of these (COM).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with body and head trauma | type of the brain injury in patients with brain damage associated both general body and head trauma |
| |
| Patients with pure head trauma | type of the brain injury in patients with brain damage associated pure head trauma |
| |
| Patients with spontaneous hemorrhage | type of the brain injury in Patients with brain damage associated spontaneous hemorrhage |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| type of the brain injury | Other | epidural hematoma |
|
| Measure | Description | Time Frame |
|---|---|---|
| number of patients by brain damage types | distribution of the patients with brain damage over the brain damage reasons | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Number of factors effecting the mortality | duration time of intubation, duration time in the ICU, APACHE scores, GCS scores. | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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a total of 1004 patients treated in the ICU in a 2-year period were retrospectivly reviewed. 135 patients, determined with traumatic or nontraumatic brain damage, with a more than 24-hour stay in the ICU, included the study.
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| Name | Affiliation | Role |
|---|---|---|
| Nurten Bakan, MD | Umraniye Education and Research Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Umraniye Education and Research Hospital | Istanbul | Turkey | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19038914 | Result | Sacco S, Marini C, Toni D, Olivieri L, Carolei A. Incidence and 10-year survival of intracerebral hemorrhage in a population-based registry. Stroke. 2009 Feb;40(2):394-9. doi: 10.1161/STROKEAHA.108.523209. Epub 2008 Nov 26. | |
| 10668696 | Result | Schwarz S, Hafner K, Aschoff A, Schwab S. Incidence and prognostic significance of fever following intracerebral hemorrhage. Neurology. 2000 Jan 25;54(2):354-61. doi: 10.1212/wnl.54.2.354. |
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| type of the brain injury | Other | subdural hematoma |
|
| type of the brain injury | Other | subarachnoid hematoma |
|
| type of the brain injury | Other | intraparenchymal hematoma |
|
| type of the brain injury | Other | scull fracture |
|
| type of the brain injury | Other | brain contusion |
|
| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| D000070642 | Brain Injuries, Traumatic |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
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