Traumatic brain injury (TBI) outcomes in an LMIC tertiary care centre and performance of trauma scores.
Samitha SamanamaleePonsuge Chathurani SigeraAmbepitiyawaduge Pubudu De SilvaKaushila ThilakasiriAasiyah RashanSaman WadanambiKosala Saroj Amarasiri JayasingheArjen M DondorpRashan HaniffaPublished in: BMC anesthesiology (2018)
This observational study of patients sustaining moderate or severe TBI in Sri Lanka (a LMIC) reveals only 46% of patients were alive at 6 months after ICU discharge and only 20% overall attained a good (GOSE 7 or 8) recovery. The social and economic consequences of TBI were long lasting in this setting. Injury Severity Score, Revised Trauma Score, A Severity Characterization of Trauma and Trauma and Injury Severity Score, all performed poorly in predicting mortality in this setting and illustrate the need for setting adapted tools.
Keyphrases
- traumatic brain injury
- trauma patients
- end stage renal disease
- tertiary care
- severe traumatic brain injury
- chronic kidney disease
- ejection fraction
- intensive care unit
- newly diagnosed
- mental health
- prognostic factors
- peritoneal dialysis
- cardiovascular events
- risk factors
- early onset
- cardiovascular disease
- high intensity
- cross sectional
- acute respiratory distress syndrome
- psychometric properties