Prevalence of severe hypokalaemia in patients with traumatic brain injury

Wu, Xing; Lü, Xin; Lu, Xin; Yu, Jian; Sun, Yirui; Du, Zhuoying; Wu, Xuehai; Mao, Ying; Zhou, Lei; Wu, Sirong; Hu, Jin

doi:10.1016/j.injury.2014.08.002

Cited by 24 publications

(35 citation statements)

References 33 publications

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“…Xing Wu et al also detected in their studies the majority of cases to be within 24-96 hours from injury. 7 Hyperkalaemia occurred within the first 3 days in all of the cases.…”

Section: Discussionmentioning

confidence: 86%

Serum Sodium and Potassium Profile in Adult Head Injury Patients and Its Effect on Final Outcome

Das¹,

Gouda²,

Sahoo³

et al. 2017

jemds

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“…Xing Wu et al also detected in their studies the majority of cases to be within 24-96 hours from injury. 7 Hyperkalaemia occurred within the first 3 days in all of the cases.…”

Section: Discussionmentioning

confidence: 86%

Serum Sodium and Potassium Profile in Adult Head Injury Patients and Its Effect on Final Outcome

Das¹,

Gouda²,

Sahoo³

et al. 2017

jemds

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“…Additionally, the abovementioned fact that bleeding at the hematoma border might be related to the number of appendices explains the correlation between C and PLT count. In terms of potassium, it was shown that hypokalemia is a common phenomenon among patients with brain damage [20]. The mechanisms of a low level of potassium after brain injury remain unclear; however, it was suggested that it might result from electrolytes shifting from an extracellular to an intracellular compartment, stimulated by the release of catecholamines [20].…”

Section: Discussionmentioning

confidence: 99%

Relation of Intracerebral Hemorrhage Descriptors with Clinical Factors

et al. 2020

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The association between intracerebral hemorrhage (ICH) shape and a poor treatment outcome has been established by few authors. We decided to analyze whether computationally assessed hemorrhage shape irregularity is associated with any known predictors of its poor treatment outcome. We retrospectively analyzed 48 patients with spontaneous intracerebral hemorrhage. For each patient we calculated Fractal Dimension, Compactness, Fourier Factor and Circle Factor. Our study showed that patients above 65 years old had significantly higher Compactness (0.70 ± 0.19 vs. 0.56 ± 0.20; p < 0.01), Fractal Dimension (0.46 ± 0.22 vs. 0.32 ± 0.20; p = 0.03) and Circle Factor (0.51 ± 0.25 vs. 0.35 ± 0.17; p < 0.01). Patients with hemorrhage growth had significantly higher Compactness (0.74 ± 0.23 vs. 0.58 ± 0.18; p < 0.01), Circle Factor (0.55 ± 0.27 vs. 0.37 ± 0.18; p < 0.01) and Fourier Factor (0.96 ± 0.06 vs. 0.84 ± 0.19; p = 0.03). In conclusion, irregularity resulting from the number of appendices can be a predictor of ICH growth; however, the size of those appendices is also important. Shape roughness better reflects the severity of brain tissue damage and a patient’s general condition.

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“…Pre-hospital management is among the factors that have been identified in the literature as crucial in the prevention of secondary brain injury. 13,14 The lack of effective pre-hospital management in our setting may account for the high morbidity associated with patients with head injuries managed in our ICU and practice environment.…”

Section: Discussionmentioning

confidence: 99%

“…This is similar to what has been reported in the literature, as people of this age (especially males) are more mobile, go out for work, and take risks, while elderly population and females are usually less aggressive and adventurous. 14,15 This has grave consequences for the economy of the country, owing to the loss of contributors to the working population.…”

Section: Discussionmentioning

confidence: 99%

“…Studies that have investigated the clinical significance of post-traumatic derangement in plasma levels of potassium have concluded that it is directly associated with or indicates a poorer outcome. 8,14 Also, the occurrence of plasma sodium derangement in head-injured patients has been found to impact significantly on outcome of management. 15 The pattern of injuries on cranial CT scan included mostly brain contusions, although many of these patients had concomitant intracranial haematomas, which were surgically evacuated.…”

Section: Discussionmentioning

confidence: 99%

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Review of adult head injury admissions into the intensive care unit of a tertiary hospital in Nigeria

Owojuyigbe¹,

Komolafe²,

Dada³

et al. 2018

East. Cent. Afr. J. Surg.

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Background: Head injury is frequently associated with death and disability and imposes considerable demands on health services. Outcome after head injury is closely related to prompt management, including prevention of secondary brain injury and intensive care unit (ICU) management. This study aimed at determining the aetiological spectrum, injury characteristics, ICU admission patterns, and treatment outcomes of adult head-injured patients at a sub-Saharan tertiary hospital. Methods: A retrospective study on adult head-injured patients admitted to the ICU of a sub-Saharan tertiary hospital between July 2000 and June 2010. Results: A total of 198 head-injured adult patients were managed in the ICU during the study period. This included 128 males and 70 females with a male-to-female ratio of 1.8:1. The most common mode of injury was road traffic accident. All the patients admitted to ICU had either moderate or severe head injury, with 73.7% having severe head injury. About 26.3% of the patients had associated cervical spine injuries and 50% had various musculoskeletal and soft tissue injuries. Cranial computed tomography findings included brain contusions and intracranial haematomas. Mean duration of ICU stay was 18 days (range 24 hours-42 days), with 89.9% discharged out of ICU care. The overall mortality was 10.1%, although only 36.9% had satisfactory outcomes, as determined by the Glasgow Outcome Scale. Outcome had statistically significant (P < 0.05) relationship with severity of head injury and surgical intervention. Conclusions: Head injury management in the ICU requires an approach to ensure prevention of secondary brain injury; appropriate and early neuroimaging to diagnose lesions that would benefit from timely surgical intervention; as well as management of fluid, electrolyte and haematological derangements.

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Prevalence of severe hypokalaemia in patients with traumatic brain injury

Cited by 24 publications

References 33 publications

Serum Sodium and Potassium Profile in Adult Head Injury Patients and Its Effect on Final Outcome

Serum Sodium and Potassium Profile in Adult Head Injury Patients and Its Effect on Final Outcome

Relation of Intracerebral Hemorrhage Descriptors with Clinical Factors

Review of adult head injury admissions into the intensive care unit of a tertiary hospital in Nigeria

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