Incidence and Outcomes of Acute Lung Injury in Patients With Isolated Traumatic Brain Injury
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 hy...
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| Format: | Article |
| Language: | English |
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Guilan University of Medical Sciences
2021-07-01
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| Series: | Iranian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://irjns.org/article-1-282-en.pdf |
| _version_ | 1797778208762888192 |
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| author | Siamak Rimaz Seyyed Mahdi Zia Ziabari Neshat Jabbari Zahra Pourmohammadi Parrisa Bagheri Sheyda Rimaz |
| author_facet | Siamak Rimaz Seyyed Mahdi Zia Ziabari Neshat Jabbari Zahra Pourmohammadi Parrisa Bagheri Sheyda Rimaz |
| author_sort | Siamak Rimaz |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T23:14:57Z |
| format | Article |
| id | doaj.art-ef8ce5aeb0664ee8bc4efa069c18f631 |
| institution | Directory Open Access Journal |
| issn | 2423-6497 2423-6829 |
| language | English |
| last_indexed | 2024-03-12T23:14:57Z |
| publishDate | 2021-07-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Neurosurgery |
| spelling | doaj.art-ef8ce5aeb0664ee8bc4efa069c18f6312023-07-17T13:34:32ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-68292021-07-0173139146Incidence and Outcomes of Acute Lung Injury in Patients With Isolated Traumatic Brain InjurySiamak Rimaz0Seyyed Mahdi Zia Ziabari1Neshat Jabbari2Zahra Pourmohammadi3Parrisa Bagheri4Sheyda Rimaz5 Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran Department of Emergency Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran Student Research Committee, School of Medicine, Anzali International Campus, Guilan University of Medical Sciences, Rasht, Iran 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.http://irjns.org/article-1-282-en.pdfacute lung injurytraumatic brain injuryglasgow coma scale (gcs) |
| spellingShingle | Siamak Rimaz Seyyed Mahdi Zia Ziabari Neshat Jabbari Zahra Pourmohammadi Parrisa Bagheri Sheyda Rimaz Incidence and Outcomes of Acute Lung Injury in Patients With Isolated Traumatic Brain Injury Iranian Journal of Neurosurgery acute lung injury traumatic brain injury glasgow coma scale (gcs) |
| title | Incidence and Outcomes of Acute Lung Injury in Patients With Isolated Traumatic Brain Injury |
| title_full | Incidence and Outcomes of Acute Lung Injury in Patients With Isolated Traumatic Brain Injury |
| title_fullStr | Incidence and Outcomes of Acute Lung Injury in Patients With Isolated Traumatic Brain Injury |
| title_full_unstemmed | Incidence and Outcomes of Acute Lung Injury in Patients With Isolated Traumatic Brain Injury |
| title_short | Incidence and Outcomes of Acute Lung Injury in Patients With Isolated Traumatic Brain Injury |
| title_sort | incidence and outcomes of acute lung injury in patients with isolated traumatic brain injury |
| topic | acute lung injury traumatic brain injury glasgow coma scale (gcs) |
| url | http://irjns.org/article-1-282-en.pdf |
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