The intracranial number of foreign bodies as a predictor of mortality after penetrating brain injury
Künye
Bolatkale, M. ve Acara, A. Ç. (2019). The intracranial number of foreign bodies as a predictor of mortality after penetrating brain injury. American Journal of Emergency Medicine, 37(3), 433-438. https://dx.doi.org/10.1016/j.ajem.2018.06.005Özet
Introduction: Penetrating brain injury (PBI) is the most lethal form of traumatic brain injury, which is a leading cause of mortality. PBI has a mortality rate of 23%-93% and 87%-100% with poor neurological status. Despite the use of various prognostic factors there is still a need for a specific prognostic factor for early prediction of mortality in PBI to reduce mortality and provide good outcomes with cost-effective surgical treatments. The aim of this study was to investigate the predictive value of the number of intracranial foreign bodies (FBs) on mortality in PBI in the Emergency Department. Methods: The study included 95 patients admitted with PBI caused by barrel bomb explosion. The intracranial number of FB was examined by brain computed tomography. Logistic regression was used to assess the association of the intracranial number of FB on mortality. Correlation analyses were performed to investigate the association of Glasgow Coma Scale (GCS) with intracranial number of FB. Results: The optimal cut-off value of the intracranial number of FB calculated for mortality was 2, which was effective for predicting mortality (p <.001). In patients with >2 intracranial FB, the mortality rate was statistically significantly 51-fold higher than those with <= 2 (p <.001). A statistically significant negative correlation was determined between GCS and number FB (r =-0.697; p <.001). Conclusion: When the intracranial number of FB was >2, mortality significantly increased in patients with PBI. The intracranial number of FBs may be considered as a novel prognostic factor for the prediction of mortality in PBI.
WoS Q Kategorisi
Q2Scopus Q Kategorisi
Q1Kaynak
American Journal of Emergency MedicineCilt
37Sayı
3Koleksiyonlar
- Makale Koleksiyonu [3651]
- PubMed İndeksli Yayınlar Koleksiyonu [4049]
- Scopus İndeksli Yayınlar Koleksiyonu [6285]
- WoS İndeksli Yayınlar Koleksiyonu [6432]