TY - JOUR PY - 2016// TI - Outcome of traumatic brain injury in the intensive care unit: a five-year review JO - Southern African journal of anaesthesia and analgesia A1 - Tobi, K. U. A1 - Azeez, A. L. A1 - Agbedia, S. O. SP - 135 EP - 139 VL - 22 IS - 5 N2 - INTRODUCTION: Traumatic brain injury (TBI) is a major challenge in the intensive care unit (ICU) with a high mortality. In a recent study, severe TBI accounted for 14.3% of all ICU admissions with a mortality of 54.0%.

METHODology: This was a retrospective, case-control study of all cases of TBI admitted into the ICU during the study period. Data retrieved included socio-demographic parameters, causes of TBI, blood transfusion, length of stay and ICU outcome in terms of mortality.

RESULT: One hundred and eighty-two (182) TBI patients were admitted into the ICU, with a mean age of 34 ± 18.92 years. The male:female ratio was 3:1, but females had a better outcome with a p-value of 0.026. Patients who stayed between 1 and 7 days were > 4 times more likely to die in the ICU compared with those who stayed for more than 7 days. In addition, TBI patients who had blood transfusion had a better outcome (p = 0.004). Also, TBI patients who received ventilatory support had higher mortality compared with those who did no, (p = 0.006).

CONCLUSION: Patients with traumatic brain injury admitted to the intensive care unit have a high mortality. A review of the present line of management and strict compliance with guidelines of management may perhaps improve outcome.

Language: en

LA - en SN - 2220-1181 UR - http://dx.doi.org/10.1080/22201181.2016.1206293 ID - ref1 ER -