Mehdi Torabi; Zahra-Sadat Amiri; Moghaddameh Mirzaee
Volume 11, Issue 2 , April 2023, , Pages 83-89
Abstract
Objective: This study aimed to investigate blood glucose levels in patients with brain injury caused by mildtraumatic brain injury (TBI) as a foundation for determining whether these patients need a brain CT scan ornot.Methods: This cross-sectional study was conducted on patients with mild TBI, who were ...
Read More
Objective: This study aimed to investigate blood glucose levels in patients with brain injury caused by mildtraumatic brain injury (TBI) as a foundation for determining whether these patients need a brain CT scan ornot.Methods: This cross-sectional study was conducted on patients with mild TBI, who were referred to theemergency department from March 1, 2022, to September 1, 2022. After the confirmation of mild TBI by anemergency medicine specialist, blood samples were taken from the patients to measure blood glucose levels.Then a brain CT scan was performed, and blood glucose levels were compared between patients with andwithout CT indications of brain injury. A checklist was used to collect data, and the data were analyzed usingSPSS software (version 23).Results: In the CT scans of the 157 patients included in the study, 30 patients (19.2%) had a brain injury inthe CT scan. The mean blood glucose level was significantly higher in patients with brain injury, especially inthe presence of vertigo and ataxia, than patients without brain injury in the CT scan (p<0.0001). There was asignificant positive correlation between age and blood glucose level (r=0.315, p<0.0001).Conclusion: Patients with mild TBI who had signs of brain injury in the CT scan had significantly higher bloodglucose levels than patients with normal CT scan findings. Although indications for performing a brain CTscan are usually based on clinical criteria, blood glucose levels can be helpful in determining the requirementfor a brain CT scan in patients with mild TBI.
Rohit Bharti; Sindhu Sapru; Ponraj Kamatchi Sundaram; Ganesh Chauhan
Volume 9, Issue 4 , October 2021, , Pages 188-194
Abstract
Objective: To evaluate the impact of the early tracheostomy on operated patients with severe head injury. Methods: This prospective observational study was conducted at a level 1 trauma center and medical college over one-year period. The study included all surgically managed severe head injury patients ...
Read More
Objective: To evaluate the impact of the early tracheostomy on operated patients with severe head injury. Methods: This prospective observational study was conducted at a level 1 trauma center and medical college over one-year period. The study included all surgically managed severe head injury patients without any other life-threatening major injuries. Patients who underwent tracheostomy within 7 days were classified as early tracheostomy. Results: The patient’s mean age of this cohort study was 43.4±14.5 years. Motor-vehicle accidents were being the most common cause of severe head injury. Operated patients were undergoing early tracheostomy on an average of 2.9 days. We were observed that the patients spent on a mechanical ventilation on an average 3.67±2.26 days. This was significantly lower than previous four published studies (p <0.05) which had a range of mean 9.8-15.7 days. Conclusion: We have shown that it is possible to decrease mechanical ventilation (MV) time, intensive care unit (ICU) stay and total hospital stay by doing early tracheostomy in operated severe head injury patients.
