Correlation between Glasgow coma scale and Jugular venous oxygen saturation in severe traumatic brain injury

Sharf, Mohammed Samy; El-Gebali, Mohammed A.

doi:10.1016/j.egja.2013.02.008

Cited by 9 publications

(11 citation statements)

References 24 publications

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“…Meanwhile, moderate-to-strong negative correlation values were found at 48 and 72 hours post-arrival period. These results were consistent with the study of Sharf and El-Gebali, 9 which reported a strong positive correlation between SjvO 2 and GCS in all cases ( r =0.85 and p <0.001) and in survived patients ( r =0.74, p <0.001). The study also reported a strong negative correlation on 48 and 72 post-arrival periods.…”

Section: Discussionsupporting

confidence: 93%

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Jugular bulb oxygen saturation correlates with Full Outline of Responsiveness score in severe traumatic brain injury patients

Senapathi¹,

Wiryana²,

Sinardja³

et al. 2017

OAEM

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BackgroundMaintaining brain oxygenation status is the main goal of treatment in severe traumatic brain injury (TBI). Jugular venous oxygen saturation (SjvO2) monitoring is a technique to estimate global balance between cerebral oxygen supply and its metabolic requirement. Full Outline of Responsiveness (FOUR) score, a new consciousness measurement scoring, is expected to become an alternative for Glasgow Coma Scale (GCS) in evaluating neurologic status of patients with severe traumatic head injury, especially for those under mechanical ventilation.MethodsA total of 63 patients with severe TBI admitted to emergency department (ED) were included in this study. SjvO2 sampling was taken every 24 hours, until 72 hours after arrival. The assessment of FOUR score was conducted directly after each blood sample for SjvO2 was taken. Spearman’s rank correlation was used to determine the correlation between SjvO2 and FOUR score. Regression analysis was used to determine mortality predictors.ResultsFrom the 63 patients, a weak positive correlation between SjvO2 and FOUR score (r=0.246, p=0.052) was found upon admission. Meanwhile, strong and moderate negative correlation values were found in 48 hours (r=−0.751, p<0.001) and 72 hours (r=−0.49, p=0.002) after admission. Both FOUR score (p<0.001) and SjvO2 (p=0.04) were found to be independent mortality predictors in severe TBI.ConclusionThere was a negative correlation between the value of SjvO2 and FOUR score at 48 and 72 hours after admission. Both SjvO2 and FOUR score are independent mortality predictors in severe TBI.

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Section: Discussionsupporting

confidence: 93%

“…Both SjvO 2 and FOUR score were found to be significant predictors to mortality. Sharf and El-Gebali 9 also reported that GCS ( p =0.008) and SjvO 2 ( p <0.001) were significant mortality predictors.…”

Section: Discussionmentioning

confidence: 89%

Jugular bulb oxygen saturation correlates with Full Outline of Responsiveness score in severe traumatic brain injury patients

Senapathi¹,

Wiryana²,

Sinardja³

et al. 2017

OAEM

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“…Kejadian hipoksemia serebral yang ditandai oleh adanya penurunan oxygen saturation dapat memicu terjadinya proses iskemik jaringan serebral (Soertidewi, 2012). Tubuh akan bereaksi secara otomatis untuk meningkatkan oxygen saturation dengan meningkatkan frekuensi pernafasan (Japardi, 2004 ;Sharf & El-Gebali, 2013).…”

Section: Pembahasanunclassified

AKURASI OXYGEN SATURATION (SpO2) SEBAGAI PREDIKTOR MORTALITY PADA KLIEN CEDERA KEPALA

Ristanto

Zakaria²

2018

mesencephalon

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Cerebral hypoxia is secondary injury which affects the mortality of clients with Trauma Brain Injury (TBI). One component of respiration that can be used to monitor the occurrence of cerebral hypoxia is oxygen saturation (SpO2). The purpose of this study was to analyze the accuracy of oxygen saturation as a predictor of mortality in head injury clients. This study is an analytic observational with retrospective cohort design. The population is all head injury medical records from January to December 2017 at the hospital. dr. Iskak Tulungagung. A total of 150 samples were selected according to inclusion and exclusion criteria. The dependent variable in this study was the mortality of the head injury client in seven days of treatment and the independent variable was the value of SpO2 in the ED triage data in the client's medical record. The results of the Mann-Whitney test analysis showed that the SpO2 variable had a significant relationship with the mortality of the head injury client (p value = 0.000). Logistic regression test shows that the SpO2 has sensitivity = 0.907 (90.7%), specificity = 0.881 (88.1%), Positive Predictive Value (PPV) = 0.951 (95.1%), and Negative Predictive Value (NPV) = 0.787 (78.7%) with predictive accuracy capability = 90%. Oxygen Saturation is an accurate predictor (90% accuracy) of the mortality of the head injury client.Keywords: Mortality, Client Head Injury, Accuracy, Oxygen Saturation.

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“…Assessment of the oxygen saturation level of the blood in major cerebral veins enables estimation of the global oxygen delivery and cerebral oxygen consumption (Haacke et al, 1997;Fernandez-Seara et al, 2006;Donahue et al, 2009). Knowledge of the blood oxygen saturation, either globally (by measuring in the major outflow veins) or locally (by measuring in other, smaller, veins), is important when it comes to understanding the physiology of the brain, evaluating oxygen supply in relevant diagnostic groups and assessing the overall vitality and function of the brain (Haacke et al, 1997;Jain et al, 2010;Sharf & El-Gebali, 2013). It has, for example, been shown that the jugular venous oxygen saturation correlates with the Glasgow coma scale (Sharf & El-Gebali, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Knowledge of the blood oxygen saturation, either globally (by measuring in the major outflow veins) or locally (by measuring in other, smaller, veins), is important when it comes to understanding the physiology of the brain, evaluating oxygen supply in relevant diagnostic groups and assessing the overall vitality and function of the brain (Haacke et al ., ; Jain et al ., ; Sharf & El‐Gebali, ). It has, for example, been shown that the jugular venous oxygen saturation correlates with the Glasgow coma scale (Sharf & El‐Gebali, ). Furthermore, the oxygen extraction of the brain can be used to calculate the cerebral metabolic rate of oxygen (CMRO 2 ), which is of clinical and scientific relevance, for example, in differentiation between incipient and advanced late‐onset Alzheimer's disease and in the understanding of the relationship between cerebral metabolism and the blood CO 2 level (connected with hypercapnia) (Siesjö, ; Hoyer et al ., ; Jain et al ., ; Xu et al ., ).…”

Section: Introductionmentioning

confidence: 99%

Quantification of normal cerebral oxygen extraction and oxygen metabolism by phase‐based MRI susceptometry: evaluation of repeatability using two different imaging protocols

Kämpe

Lind

Ståhlberg

et al. 2015

Clin Physio Funct Imaging

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Wirestam, R. (2017). Quantification of normal cerebral oxygen extraction and oxygen metabolism by phase-based MRI susceptometry: evaluation of repeatability using two different imaging protocols. Clinical Physiology and Functional Imaging, 37(2), 2011-220. DOI: 10.1111/cpf.12288 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal

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Correlation between Glasgow coma scale and Jugular venous oxygen saturation in severe traumatic brain injury

Cited by 9 publications

References 24 publications

Jugular bulb oxygen saturation correlates with Full Outline of Responsiveness score in severe traumatic brain injury patients

Jugular bulb oxygen saturation correlates with Full Outline of Responsiveness score in severe traumatic brain injury patients

AKURASI OXYGEN SATURATION (SpO2) SEBAGAI PREDIKTOR MORTALITY PADA KLIEN CEDERA KEPALA

Quantification of normal cerebral oxygen extraction and oxygen metabolism by phase‐based MRI susceptometry: evaluation of repeatability using two different imaging protocols

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