Hemotransfusion and mechanical ventilation time are associated with intra-hospital mortality in patients with traumatic brain injury admitted to intensive care unit

ABSTRACT Objective To identify the factors associated with the intra-hospital mortality in patients with traumatic brain injury (TBI) admitted to intensive care unit (ICU). Methods The sample included patients with TBI admitted to the ICU consecutively in a period of one year. It was defined as vari...

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Bibliographic Details
Published in:Arquivos de neuro-psiquiatria 2016-08, Vol.74 (8), p.644-649
Main Authors: Almeida, Kelson James, Rodrigues, Ânderson Batista, Lemos, Luiz Euripedes Almondes Santana, Oliveira, Marconi Cosme Soares de, Gandara, Brisa Fideles, Lopes, Raissa da Rocha, Modesto, Daniel Rocha e Silva, Rego, Irizon Klecio Pereira
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Blood Transfusion
Brain Injuries, Traumatic - etiology
Brain Injuries, Traumatic - mortality
Brain Injuries, Traumatic - therapy
desmame do respirador
Female
Hospital Mortality
Humans
Intensive Care Units
Length of Stay
Male
Middle Aged
Multivariate Analysis
NEUROSCIENCES
PSYCHIATRY
Respiration, Artificial
Retrospective Studies
Risk Factors
serviço de hemoterapia
traumatismos craniocerebrais
unidades de terapia intensiva
Young Adult
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Summary:ABSTRACT Objective To identify the factors associated with the intra-hospital mortality in patients with traumatic brain injury (TBI) admitted to intensive care unit (ICU). Methods The sample included patients with TBI admitted to the ICU consecutively in a period of one year. It was defined as variables the epidemiological characteristics, factors associated with trauma and variables arising from clinical management in the ICU. Results The sample included 87 TBI patients with a mean age of 28.93 ± 12.72 years, predominantly male (88.5%). The intra-hospital mortality rate was of 33.33%. The initial univariate analysis showed a significant correlation of intra-hospital death and the following variables: the reported use of alcohol (p = 0.016), hemotransfusion during hospitalization (p = 0.036), and mechanical ventilation time (p = 0.002). Conclusion After multivariate analysis, the factors associated with intra-hospital mortality in TBI patients admitted to the intensive care unit were the administration of hemocomponents and mechanical ventilation time.
ISSN:0004-282X
1678-4227
1678-4227
0004-282X
DOI:10.1590/0004-282X20160093