Neuromonitoring in the severe traumatic brain injury. Spanish Trauma ICU Registry (RETRAUCI)
| Autor: | Dolores María Mayor-García, Pedro Enríquez-Giraudo, Neus Montserrat-Ortiz, M. Chico-Fernández, Marcelino Sánchez-Casado, J. González-Robledo, Juan Antonio Llompart-Pou, María Lourdes Cordero-Lorenzana, Jesús Abelardo Barea-Mendoza |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Trauma ICU Multivariate analysis Intracranial Pressure Traumatic brain injury Logistic regression 03 medical and health sciences 0302 clinical medicine Brain Injuries Traumatic Mydriasis Humans Medicine Oximetry Registries Monitoring Physiologic Intracranial pressure business.industry Glasgow Coma Scale Middle Aged medicine.disease nervous system diseases Intensive Care Units Cerebrovascular Circulation Mechanism of injury Anesthesia medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Neurocirugía (English Edition). 31:1-6 |
| ISSN: | 2529-8496 |
| DOI: | 10.1016/j.neucie.2019.05.004 |
| Popis: | Objective To analyze the use of intracranial pressure (ICP) and cerebral oximetry monitoring in patients with severe traumatic brain injury (TBI) according to the Spanish Trauma ICU Registry (RETRAUCI). Methods We included TBI patients with Glasgow Coma Scale score ≤8. Hypotheses were tested using the Student-T or Wilcoxon tests (quantitative variables) and the Chi-square test (categorical variables). Multivariate analysis using logistic regression was performed to analyze the variables associated with the use of ICP monitoring . Results We analyzed 1463 patients. Age 49.1 years. Males 1130 (77.3%). Mechanism of injury: falls in 350 cases (23.9%). ISS 27.9. Uni- or bilateral mydriasis was present in 39.3% of the patients. Neurosurgical intervention within 24 h was performed in 331 patients (22.7%). ICP was monitored in 635 patients (45.1%), pbtO2 in 122 patients (8.6%), SjVO2 in 19 patients (1.34%) and NIRS was used in 25 cases (1.77%). In the multivariate analysis, age, bilateral mydriasis at admission and previous use of antiplatelets or anticoagulants was inversely related with ICP monitoring. Severity of injury and the need of neurosurgical intervention increased the probability of ICP monitoring. Conclusions Our study shows a picture of ICP monitoring in severe TBI patients in our environment. Use of cerebral oximetry techniques is very limited. |
| Databáze: | OpenAIRE |
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