Document Type : Original Article
Authors
1
Lecturer in Critical Care Nursing Department, Faculty of Nursing- Ain Shams University, Egypt
2
Assist Professor in Critical Care Nursing Department, Faculty of Nursing- Ain Shams University, Egypt
3
Lecturer of Medical Surgical Nursing Department, Faculty of Nursing- Ain Shams University, Egypt
Abstract
ABSTRACT: Traumatic brain injury (TBI) is a leading cause of morbidity and mortality
worldwide. Due to its high incidence rate and often long-term sequelae, the TBI contributes
significantly to increase costs of health care expenditures annually. Nurses' knowledge and practice
play important roles in provision of supportive care to decrease TBI related morbidity and
mortality. Aim: the aim of this study was to assess prognostic factors affecting neurological
outcomes for patients with closed traumatic brain injury. Study design: Descriptive exploratory
study. Subject: A purposive sample of 75 adult patients from both genders regardless their
educational level admitted to neurological intensive care unit with moderate to severe closed
traumatic brain injury (TBI) based on Glasgow coma scale assessment. Also, a convenient sample
of all available nurses (30) working at neurological intensive care unit. Setting This study was
carried out in neurological intensive care unit affiliated to Ain Shams University Hospitals, Cairo,
Egypt. Tools: (1) Patients related factors tool, Tools: (2) Nurses related factors tool, Tools: (3)
Intervention modalities related factors tool & Tools: (4) Neurological outcomes tools Results:
advanced age (>=60), diagnosis with (Sub arachnoid, Intracerebral and Diffused brain injury), with
odd ratio 4.428, 7.847 ,19.069 and 28.878 respectively as well as the presence of comorbidity with
odd ratio 7.847 & CT brain results with odd ratio. 126,.144 and 2.818; are statistically significant
predictors of poor prognosis and mortality. Conclusion: Advanced age (>=60), diagnosis with (Sub
arachnoid, Intracerebral and Diffused brain injury), Presence of comorbidity & CT brain results,
low mean arterial blood pressure, hyperthermia, hyperglycemia, elevated urea level, hyponatremia,
hyperkalemia, acidosis, hypercapnia, hypoxia, mechanical ventilation, sedation, surgery and severe
baseline GCS are statistically significant predictors of poor prognosis and mortality.
Recommendations: Further studies are recommended to assess prognostic factors affecting
neurological outcomes for patients with closed traumatic head injury.
Keywords
)
View on SCiNiTO