Hassanreza Mohammadi; ali Erfani; Sohrab Sadeghi; khalil komlakh; masoumeh otaghi
Volume 12, Issue 3 , July 2024
Abstract
Objectives: This study was conducted to investigate the factors affecting mortality due to spinal cord traumain patients admitted to the intensive care unit (ICU).Methods: This study was conducted in a group of patients who were admitted to the ICU with a TraumaticSpinal Injuries (TSI) diagnosis. The ...
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Objectives: This study was conducted to investigate the factors affecting mortality due to spinal cord traumain patients admitted to the intensive care unit (ICU).Methods: This study was conducted in a group of patients who were admitted to the ICU with a TraumaticSpinal Injuries (TSI) diagnosis. The researcher started sampling by assessing the documents of the patientshospitalized in the ICU, and the diagnosis of TSI was confirmed for them. Besides, utilizing a researcher-madechecklist, factors affecting the mortality of patients were identified. The data were analyzed using the SPSSsoftware version 16. P<0.05 was considered statistically significant.Results: About 412 (64.2%) patients were men, about 213 (33.2%) of the patients had GCS between 3-8 grade.There were injuries in the pelvis area. Moreover, there was a significant relationship between GCS score statusand the number of injury follow-ups in addition to TSI. Therefore, the mortality rate was higher in patients whohad lower GCS (Odds ratio=2.32, p<0.001). There was also a significant relationship between the number ofinjuries and the mortality rate, and patients who had multiple traumas had a higher mortality rate. Besides, asignificant relationship was observed between the complications caused by trauma, including cerebrovascularaccident, cardiac arrest, acute respiratory distress syndrome (ARDS), pneumonia, and the mortality of patientshospitalized in the SICU (p<0.05)Conclusion: The patients’ mortality was influenced by factors such as their level of consciousness, the numberof traumas caused in the spinal cord, and the occurrence of comorbidities such as cerebrovascular accident,cardiac arrest, ARDS, and pneumonia. Therefore, it is necessary to take the essential measures to reduce thesecomplications.
Sajed Arabian; Ali Davoodi; Mehrdad Karajizadeh; Najmeh Naderi; Najmeh Bordbar; Golnar Sabetian
Volume 12, Issue 2 , April 2024, , Pages 81-87
Abstract
Objective: This study aimed to determine the rate of readmission for trauma patients in ICUs, as well as thefactors that predict this outcome.Methods: This retrospective cohort study was conducted at Emtiaz Hospital, a level I referral trauma center(Shiraz, Iran). It analyzed the ICU readmission rates ...
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Objective: This study aimed to determine the rate of readmission for trauma patients in ICUs, as well as thefactors that predict this outcome.Methods: This retrospective cohort study was conducted at Emtiaz Hospital, a level I referral trauma center(Shiraz, Iran). It analyzed the ICU readmission rates among trauma patients over three years. The requireddata were extracted from the Iranian Intensive Care Registry (IICUR), which included patient demographics,injury severity, physiological parameters, and clinical outcomes. Statistical analysis was performed using SPSSversion 25.0. Descriptive statistics and different statistical tests, such as T-tests, Mann-Whitney tests, Chisquare tests, and logistic binary regression test were utilized.Results: Among the 5273 patients discharged from the ICU during the study period, 195 (3.7%) were readmittedduring the same hospitalization. Patients readmitted to the ICU had a significantly higher mean age (54.83±22.73years) than those who were not readmitted (47.08 years, p<0.001). Lower Glasgow Coma Scale (GCS) scoresat admission and discharge were associated with ICU readmission, implying that neurological status andreadmission risk were correlated with each other. Furthermore, respiratory challenges were identified as theleading cause of unexpected readmission, including respiratory failure, hypoxic respiratory failure, respiratorydistress, and respiratory infections such as pneumonia. Injury patterns analysis revealed a higher frequency ofpoly-trauma and head and neck injuries among patients readmitted to the ICU.Conclusion: This study underscored the importance of ICU readmission among trauma patients, with a highreadmission rate during the same hospitalization. By developing comprehensive guidelines and optimizingdischarge processes, healthcare providers could potentially mitigate ICU readmissions and associatedcomplications, ultimately enhancing patient outcomes and resource utilization in trauma ICU settings. Thisresearch provided valuable insights to inform evidence-based practices and improve the quality of care deliveryfor trauma patients in intensive care settings.
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 ...
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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.
Golnar Sabetian; Fatemeh Aalinezhad; Mansoor Masjedi; Shahram Paydar
Volume 7, Issue 1 , January 2019, , Pages 84-87
Abstract
Pneumothorax as a complication of pleural catheter insertion could be very dangerous in patients under mechanical ventilation. In ICU patients, physical examination and supine chest x-ray (CXR) are poorly sensitive in diagnosis of pneumothorax. Moreover, CT scan has also disadvantages, such as radiation, ...
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Pneumothorax as a complication of pleural catheter insertion could be very dangerous in patients under mechanical ventilation. In ICU patients, physical examination and supine chest x-ray (CXR) are poorly sensitive in diagnosis of pneumothorax. Moreover, CT scan has also disadvantages, such as radiation, high cost, time consuming and need for patient transfer to radiology suit. In comparison to CXR and CT scan, ultrasonography is an available tool for early and rapid detection of this complication. In this study, we reported a 21-year-old woman, a victim of trauma, undergone pleural catheter insertion for drainage of hemothorax. She developed pneumothorax after the procedure. We discuss the usefulness of ultrasonography after pleural catheter insertion and concluded its adequacy and effectiveness in early diagnosis and also follow-up of pneumothorax.
