Prognostic Study of Using Different Monitoring Modalities in Treating Severe Traumatic Brain Injury

Autor: Zamzuri Idris, Rahman Izaini Ghani, Kamarul Imran Musa, Mohd Ismail Ibrahim, Mazlan Abdullah, Naing Nyi Nyi, Jafri Malin Abdullah
Jazyk: angličtina
Rok vydání: 2007
Předmět:
Zdroj: Asian Journal of Surgery, Vol 30, Iss 3, Pp 200-208 (2007)
Druh dokumentu: article
ISSN: 1015-9584
DOI: 10.1016/S1015-9584(08)60023-8
Popis: To determine whether or not multimodality monitoring technique would result in a better outcome score than single modality monitoring in severely head injured patients. Methods: This was a prospective randomized study that included all adults with traumatic severe head injury who had a Glasgow Coma Score < 9 and computed tomography scan features that did not reveal significant infratentorial pathology. Subjects were randomized into a multimodality group where they received multiple cerebral monitoring or into a standard single modality group where they received only intracranial pressure monitoring. The outcome was analysed 6 months post treatment using the Barthel Index. Results: The outcome at 6 months post treatment between the two groups was not statistically significant (p < 0.48). However, the percentage of subjects who were independent at 6 months was higher in the multimodality group (21.2%) compared with the single modality group (17.3%). Conclusion: Multimodality monitoring for severely head-injured patients has no effect on outcome. However, study with a larger sample size and improvement in groups comparison are required to ascertain the above findings.
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