|
|
|
Effect of improving prehospital hypotension and hypoxemia on the prognosis of patients with traumatic brain injury |
| Liang Liang1*, Liwei Wu1, Yaowen Hu1, Xin Li1, Haiqing Dong1, Xiaofeng Sun2 |
1.Department of Neurosurgery, the First Central Hospital of Baoding, Baoding 071000, China
2.Department of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang 050051, China |
|
|
|
|
Abstract Objective: to investigate the effect of improving prehospital hypotension and hypoxemia on the prognosis of different subgroups of patients with traumatic brain injury (TBI). Methods: medical staff were trained about the prehospital first aid for 2 months to fully master the methods of improving prehospital hypotension and hypoxemia, then the prognosis of TBI patients pre- and post-training for 12 months was collected and recorded. The prognostic differences of different TBI subgroups were discussed through data analysis. Results: after the training, the proportion of prehospital hypotension and hypoxemia in TBI patients decreased by 77% (8.5% vs. 1.9%) and 63% (9.9% vs. 3.6%, P < 0.05), respectively. However, only the prognosis of moderate and severe TBI patients was improved, the proportion of patients with “good prognosis” increased by 14% (61.4% vs. 70.5%, respectively) and 62% (35.6% vs. 58%), and no significant effect showed in mild and critical TBI patients.Conclusion: reducing the incidence of prehospital hypoxemia and hypotension can improve the prognosis of moderate and severe TBI patients, while no significant effect on mild and critical TBI patients.
|
| Keywords
traumatic brain injury (TBI)
prehospital hypotension and hypoxemia
Glasgow outcome scale (GOS)
management guide
|
|
Issue Date: 25 June 2020
|
|
|
Viewed |
|
|
|
Full text
|
|
|
|
|
Abstract
|
|
|
|
|
Cited |
|
|
|
|
| |
Shared |
|
|
|
|
| |
Discussed |
|
|
|
|
