Care of severe head injury patients in the Sarawak General Hospital: intensive care unit versus general ward.
Med J Malaysia
; 66(2): 138-41, 2011 Jun.
Article
en En
| MEDLINE
| ID: mdl-22106695
Intensive care for severe head injury patients is very important in the prevention and treatment of secondary brain injury. However, in a resources constraint environment and limited availability of Intensive Care Unit (ICU) beds in the hospitals, not all severe head injury patients will receive ICU care. This prospective study is aimed to evaluate the outcome of severe head injured patients who received ICU and general ward care in Sarawak General Hospital (SGH) over a 6-month period. A total of thirty five severe head injury patients were admitted. Twenty three patients (65.7%) were ventilated in general ward whereas twelve patients (34.3%) were ventilated in ICU. Overall one month mortality in this study was 25.7%. Patients who received ICU care had a lower one month mortality than those who received general ward care (16.7% vs 30.4%), although it was not statistically different. Multivariate analysis revealed only GCS on admission (OR 0.731; 95% CI 0.460 to 0.877; P=0.042) as the independent predictive factor for one month mortality in this study.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Habitaciones de Pacientes
/
Lesiones Encefálicas
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Cuidados Críticos
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Hospitales Generales
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
/
Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Med J Malaysia
Año:
2011
Tipo del documento:
Article
Pais de publicación:
Malasia