Quality of life of victims of traumatic brain injuries undergoing neurosurgery

Lima, Ana Carolina Bezerra de; Bonfim, Cristine Vieira do; Almeida, Adriana Conrado de; Gonçalves, Fernando Ramos; Furtado, Betise Mery Alencar Sousa Macau

doi:10.12707/riv18069

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…In addition, these ndings concour with a study that reported that surival of TBI patients was low and elavated blood pressure, GSC, and non reactive pupils are predictors of mortality (12). Holding the rest of variables constant, given a patient has EIH, having SDH, SAH and contusion (Figures would make the overall survival become worse over time (33)(34)(35)(36). Patients with EIH after TBI had a 30-fold higher risk of adverse outcomes and a 10-fold higher chance of dying (37).…”

Section: Factors Associated With Survivalsupporting

confidence: 64%

Effects of timing to surgery on outcomes among adult patients with traumatic expansive intracranial hematomas in a sub-Saharan tertiary hospital: A prospective cohort study

Kamabu

Bbosa

Lekuya

et al. 2023

Preprint

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Background Despite the fact that traumatic expansive intracranial hematomas (EIH) are frequent, it is debatable whether the timing of surgery affects the prognosis of patients. The study assessed the effect of timing to surgery on outcomes among adult patients with EIH at Mulago National Referral hospital (MNRH). Methods A prospective study was conducted among adult TBI patients with intracranial hematoma during a period of 1 year and follow up for 6 months. Participants were grouped into two arms based on the early (within 24 hours) or late (over 24 hours) surgical evacuation of EIH. The Kaplan–Meier survival curve and log-rank test were used to test for differences in survival status among groups. The level of significance was determined at a p-value of < 0.05. Results The analysis covered 324 individuals in all, and 10.2% of them died. Majority of patients (59.6%) had delayed surgery. Patients who underwent early surgery within 24 hours of accident had a median time to mortality of 2 days while those who underwent surgery more than 24 hours had a median time to mortality of 4 days (p=0.004). Patients who underwent early surgery had a median LOS similar to those who had late surgery of 2 days(p=0.278). The overall survival was 46.6%, 95% CI= (17.0 to 71.9). The survival was significantly influenced by QoLIBRI, GOS, SDH, SAH, contusion. Among the survivors, 73.8% were in good functional outcome at discharge. Surgical timing groups were different according to mortality, QoLIBRI at 180 days, which was on average lower in the late surgery group, and complications, which were higher in the same group. Delayed surgery was more associated with posttraumatic seizures (PTS), infection, bleeding, pneumonia, paralysis, nausea, vomiting and decompressive craniectomy. Conclusion Early surgery was associated with early mortality, but was neither associated with shorter LOS nor with better survival. Late surgery was associated with lower long-term QoLIBRI, higher complication rate. This study demonstrates that there are still differences in outcome about when to operate. Further high-quality studies are needed to solve this disparity.

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Section: Factors Associated With Survivalsupporting

confidence: 64%

Effects of timing to surgery on outcomes among adult patients with traumatic expansive intracranial hematomas in a sub-Saharan tertiary hospital: A prospective cohort study

Kamabu

Bbosa

Lekuya

et al. 2023

Preprint

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“…Decision-making is challenging in the care of these individuals, particularly concerning their prognosis, the actual impact of new interventions, and the real potential to alter their quality of life. In this scenario, Palliative Care (PC) has been one of the most effective and necessary frameworks in therapy for TCE patients (Lima et al, 2019).…”

Section: )mentioning

confidence: 99%

Palliative Care: Multidisciplinary Approach to People With Traumatic Brain Injury

Castro,

Franco

2023

Preprint

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Objective: to analyze palliative care provided by a multidisciplinary team to people with traumatic brain injury, according to the literature. Methodology: We opted for an Integrative Literature Review, of a qualitative type with a descriptive approach. To assist in collection, the PICo acromion strategy was used, with a time frame from 2018 to 2023, the data was analyzed according to the Bardin content method. Results: The literature search resulted in a total of 479 publications for pre-selected and identified terms, only 16 articles were included in the review. From the analysis of the results on multidisciplinary care, two categories were created to expose the scientific evidence on “palliative care in neurological patients” and the “multidisciplinary team approach to people with Traumatic Brain Injury”. Therefore, palliative care is considered relevant in the performance of care for people with Traumatic Brain Injury, as it establishes a competent bias for the patient's therapeutic process, including physical, mental, affective and social attention and care, improving the quality of care for patients. and their families. Conclusion: It is concluded that this review allowed recognizing the relevance of palliative care for trauma patients, their families and even their health teams, as they work in planning and implementing improvements in intensive care, through an approach qualification and integrated, respecting patients and their families.

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“…Decision-making is challenging in the care of these individuals, particularly concerning their prognosis, the actual impact of new interventions, and the real potential to alter their quality of life. In this context, Palliative Care (PC) has been one of the most effective and necessary frameworks for treating TBI patients [4].…”

Section: Introductionmentioning

confidence: 99%

Palliative Care: Multidisciplinary Approach to People with Traumatic Brain Injury

Castro,

do Lago,

Franco

2024

IJMRA

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Objective: To analyze the palliative care provided by a multidisciplinary team to people with traumatic brain injury according to the literature. Methodology: We opted for an integrative literature review of a qualitative type with a descriptive approach. To assist in collection, the PICo acromion strategy was used, with a time frame from 2018 to 2023, and the data were analysed according to the Bardin content method. This review was reported according to the PRISMA statement. Results: The literature search resulted in a total of 479 publications for preselected and identified terms, and only 16 articles were included in the review. From the analysis of the results on multidisciplinary care, two categories were created to expose the scientific evidence on “palliative care in neurological patients” and the “multidisciplinary team approach to people with traumatic brain injury”. Therefore, palliative care is considered relevant in the care of people with traumatic brain injury, as it establishes a competent bias for the patient's therapeutic process, including physical, mental, affective, and social attention and care, improving the quality of care for patients. and their families. Conclusion: This review allowed us to recognize the relevance of palliative care for trauma patients, their families and even their health teams, as they work in planning and implementing improvements in intensive care through an approach involving qualification and integration of patients and their families.

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Quality of life of victims of traumatic brain injuries undergoing neurosurgery

Abstract: Qualidade de vida das vítimas de trauma cranioencefálico submetidas a neurocirurgias Calidad de vida de las víctimas de traumatismo craneoencefálico sometidas a neurocirugías

Cited by 6 publications

References 14 publications

Effects of timing to surgery on outcomes among adult patients with traumatic expansive intracranial hematomas in a sub-Saharan tertiary hospital: A prospective cohort study

Effects of timing to surgery on outcomes among adult patients with traumatic expansive intracranial hematomas in a sub-Saharan tertiary hospital: A prospective cohort study

Palliative Care: Multidisciplinary Approach to People With Traumatic Brain Injury

Palliative Care: Multidisciplinary Approach to People with Traumatic Brain Injury

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