Prognostic Factors Affecting Neurological Outcomes for Patients with Closed Traumatic Brain Injury
Mohamed Maarouf, D., Ali Ameen, D., Mohamed Khalifa, A. (2022). Prognostic Factors Affecting Neurological Outcomes for Patients with Closed Traumatic Brain Injury. EKB Journal Management System, 13(1), 1345-1356. doi: 10.21608/ejhc.2022.232022
Dina Mohamed Maarouf; Dalia Ali Ameen; Arzak Mohamed Khalifa. "Prognostic Factors Affecting Neurological Outcomes for Patients with Closed Traumatic Brain Injury". EKB Journal Management System, 13, 1, 2022, 1345-1356. doi: 10.21608/ejhc.2022.232022
Mohamed Maarouf, D., Ali Ameen, D., Mohamed Khalifa, A. (2022). 'Prognostic Factors Affecting Neurological Outcomes for Patients with Closed Traumatic Brain Injury', EKB Journal Management System, 13(1), pp. 1345-1356. doi: 10.21608/ejhc.2022.232022
Mohamed Maarouf, D., Ali Ameen, D., Mohamed Khalifa, A. Prognostic Factors Affecting Neurological Outcomes for Patients with Closed Traumatic Brain Injury. EKB Journal Management System, 2022; 13(1): 1345-1356. doi: 10.21608/ejhc.2022.232022

Prognostic Factors Affecting Neurological Outcomes for Patients with Closed Traumatic Brain Injury

Egyptian Journal of Health Care
Article 91, Volume 13, Issue 1, March 2022, Page 1345-1356  XML PDF (277 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2022.232022
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Authors
Dina Mohamed Maarouf1; Dalia Ali Ameen2; Arzak Mohamed Khalifa3
1Lecturer in Critical Care Nursing Department, Faculty of Nursing- Ain Shams University, Egypt
2Assist Professor in Critical Care Nursing Department, Faculty of Nursing- Ain Shams University, Egypt
3Lecturer of Medical Surgical Nursing Department, Faculty of Nursing- Ain Shams University, Egypt
Abstract
ABSTRACT: Traumatic brain injury (TBI) is a leading cause of morbidity and mortality
worldwide. Due to its high incidence rate and often long-term sequelae, the TBI contributes
significantly to increase costs of health care expenditures annually. Nurses' knowledge and practice
play important roles in provision of supportive care to decrease TBI related morbidity and
mortality. Aim: the aim of this study was to assess prognostic factors affecting neurological
outcomes for patients with closed traumatic brain injury. Study design: Descriptive exploratory
study. Subject: A purposive sample of 75 adult patients from both genders regardless their
educational level admitted to neurological intensive care unit with moderate to severe closed
traumatic brain injury (TBI) based on Glasgow coma scale assessment. Also, a convenient sample
of all available nurses (30) working at neurological intensive care unit. Setting This study was
carried out in neurological intensive care unit affiliated to Ain Shams University Hospitals, Cairo,
Egypt. Tools: (1) Patients related factors tool, Tools: (2) Nurses related factors tool, Tools: (3)
Intervention modalities related factors tool & Tools: (4) Neurological outcomes tools Results:
advanced age (>=60), diagnosis with (Sub arachnoid, Intracerebral and Diffused brain injury), with
odd ratio 4.428, 7.847 ,19.069 and 28.878 respectively as well as the presence of comorbidity with
odd ratio 7.847 & CT brain results with odd ratio. 126,.144 and 2.818; are statistically significant
predictors of poor prognosis and mortality. Conclusion: Advanced age (>=60), diagnosis with (Sub
arachnoid, Intracerebral and Diffused brain injury), Presence of comorbidity & CT brain results,
low mean arterial blood pressure, hyperthermia, hyperglycemia, elevated urea level, hyponatremia,
hyperkalemia, acidosis, hypercapnia, hypoxia, mechanical ventilation, sedation, surgery and severe
baseline GCS are statistically significant predictors of poor prognosis and mortality.
Recommendations: Further studies are recommended to assess prognostic factors affecting
neurological outcomes for patients with closed traumatic head injury.
Keywords
Prognostic Factors; Neurological Outcomes; Closed Traumatic Brain Injury
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