Korean Journal of Neurotrauma最新文献_第10页

Efficacy of Serum Antithrombin III Test in Patients With Severe Traumatic Brain Injury. 重型颅脑外伤患者血清抗凝血酶III检测的疗效观察。

Korean Journal of Neurotrauma Pub Date : 2023-06-01 DOI: 10.13004/kjnt.2023.19.e29

HeeSeung Noh, Sun Geon Yoon, Kyunghak Choi, Kyu-Hyouck Kyung, Min Soo Kim

{"title":"Efficacy of Serum Antithrombin III Test in Patients With Severe Traumatic Brain Injury.","authors":"HeeSeung Noh, Sun Geon Yoon, Kyunghak Choi, Kyu-Hyouck Kyung, Min Soo Kim","doi":"10.13004/kjnt.2023.19.e29","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e29","url":null,"abstract":"Objective: Immune reactions following traumatic brain injury (TBI) cause many complications, including intravascular dissemination. Antithrombin III (AT-III) plays an important role in suppressing abnormal clot formation and ensuring hemostasis. Therefore, we investigated the efficacy of serum AT-III in patients with severe TBI.Methods: This retrospective study included 224 patients with severe TBI who visited a single regional trauma center between 2018 and 2020. AT-III levels were measured immediately after the TBI diagnosis. AT-III deficiency was defined as an AT-III serum level <70%. Patient characteristics, injury severity, and procedures were also investigated. Patient outcomes included Glasgow Outcome Scale scores at discharge and mortality.Results: AT-III levels were significantly lower in the AT-III deficient group (n=89; 48.27% ± 1.91%) than in the AT-III sufficient group (n = 135, 78.90% ± 1.52%) (p < 0.001). Mortality occurred in 72 of the 224 patients (33.04%), indicating that there were significantly more patients in the AT-III-deficient group (45/89, 50.6%) than in the AT-III-sufficient group (27/135, 20%). Significant risk factors for mortality included the Glasgow Coma Scale score (P = 0.003), pupil dilatation (P = 0.031), disseminated intravascular coagulopathy (P = 0.012), serum AT-III level (P = 0.033), and procedures including barbiturate coma therapy (P = 0.010). Serum AT-III levels were significantly correlated with Glasgow Outcome Scale scores at discharge (correlation coefficient = 0.455, p < 0.001).Conclusion: Patients with AT-III deficiency after severe TBI may require more intensive care during treatment, because AT-III levels reflect injury severity and correlate with mortality.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 2","pages":"234-241"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/73/kjn-19-234.PMC10329882.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9813370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nutrition Therapy for Patients With Traumatic Brain Injury: A Narrative Review. 创伤性脑损伤患者的营养治疗:叙述性回顾。

Korean Journal of Neurotrauma Pub Date : 2023-06-01 DOI: 10.13004/kjnt.2023.19.e31

Heewon Jeong, Jae Hyun Kim, Yoon-Hee Choo, Moinay Kim, Seungioo Lee, Eun Jin Ha, Jiwoong Oh

{"title":"Nutrition Therapy for Patients With Traumatic Brain Injury: A Narrative Review.","authors":"Heewon Jeong, Jae Hyun Kim, Yoon-Hee Choo, Moinay Kim, Seungioo Lee, Eun Jin Ha, Jiwoong Oh","doi":"10.13004/kjnt.2023.19.e31","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e31","url":null,"abstract":"Traumatic brain injury (TBI) is a global health and socio-economic problem, resulting in significant disability and mortality. Malnutrition is common in TBI patients and is associated with increased vulnerability to infection, higher morbidity and mortality rates, as well as longer stays in the intensive care unit and hospital. Following TBI, various pathophysiological mechanisms, such as hypermetabolism and hypercatabolism, affect patient outcomes. It is crucial to provide adequate nutrition therapy to prevent secondary brain damage and promote optimal recovery. This review includes a literature review and discusses the challenges encountered in clinical practice regarding nutrition in TBI patients. The focus is on determining energy requirements, timing and methods of nutrition delivery, promoting enteral tolerance, providing enteral nutrition to patients receiving vasopressors, and implementing trophic enteral nutrition. Enhancing our understanding of the current evidence regarding appropriate nutrition practices will contribute to improving overall outcomes for TBI patients.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 2","pages":"177-184"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c5/18/kjn-19-177.PMC10329886.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9813372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Letter to the Editor: Clinical and Radiologic Outcomes of Single Burr Hole Drainage and Mini-craniotomy in the Treatment of Inhomogeneous Chronic Subdural Hematoma: A Retrospective Study (Korean J Neurotrauma 2022;18:208-220). 致编辑:单钻孔引流加小开颅术治疗非均匀性慢性硬膜下血肿的临床和影像学结果:回顾性研究(韩国神经创伤杂志2022;18:20 08-220)。

Korean Journal of Neurotrauma Pub Date : 2023-06-01 DOI: 10.13004/kjnt.2023.19.e17

Joonho Byun

引用次数: 0

Advancements in Neurointensive Care Medicine for the Treatment of Central Nervous System Injuries. 治疗中枢神经系统损伤的神经重症医学进展。

Korean Journal of Neurotrauma Pub Date : 2023-06-01 DOI: 10.13004/kjnt.2023.19.e30

Byung-Jou Lee, Je Hoon Jeong, Hyuk-Jin Oh

引用次数: 0

Kummell's Disease is Becoming Increasingly Important in an Aging Society: A Review. 库默氏病在老龄化社会中日益重要：综述。

Korean Journal of Neurotrauma Pub Date : 2023-03-22 eCollection Date: 2023-03-01 DOI: 10.13004/kjnt.2023.19.e13

Myeong Jin Ko, Byung-Jou Lee

{"title":"Kummell's Disease is Becoming Increasingly Important in an Aging Society: A Review.","authors":"Myeong Jin Ko, Byung-Jou Lee","doi":"10.13004/kjnt.2023.19.e13","DOIUrl":"10.13004/kjnt.2023.19.e13","url":null,"abstract":"Kummell's disease (KD) is referred to as delayed posttraumatic vertebral collapse, avascular necrosis of vertebrae, or ischemic vertebral collapse. KD is no longer rare in an aging society. It is mainly caused by minor trauma, and nonunion occurs secondary to avascular necrosis at the vertebral body fracture site, which can lead to vertebral kyphosis or intravertebral instability. Clinical symptoms of KD range from no symptoms to severe paralysis due to nerve injury. KD is considered a complication of osteoporotic vertebral compression fractures, and conservative treatment, including osteoporosis treatment, is important. Timely interventions such as vertebral augmentation or surgery, with active regular follow-up are necessary before the onset of neurological deficits due to osteonecrotic collapse in patients with suspected KD. In this study, we summarize the pathogenesis, diagnosis, and treatment of KD, which is showing increasing prevalence in an aging society. We have presented a literature review and discussed clinical guidelines and therapeutic strategies to reduce the morbidity and mortality associated with KD.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 1","pages":"32-41"},"PeriodicalIF":0.0,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/91/kjn-19-32.PMC10083447.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9297803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of the Glucose Potassium Ratio in the Management of Traumatic Brain Injury. 糖钾比在颅脑损伤治疗中的作用。

Korean Journal of Neurotrauma Pub Date : 2023-03-15 eCollection Date: 2023-03-01 DOI: 10.13004/kjnt.2023.19.e11

Joaquín Ignacio Marini, Matías Emmanuel Sein

{"title":"The Role of the Glucose Potassium Ratio in the Management of Traumatic Brain Injury.","authors":"Joaquín Ignacio Marini, Matías Emmanuel Sein","doi":"10.13004/kjnt.2023.19.e11","DOIUrl":"10.13004/kjnt.2023.19.e11","url":null,"abstract":"Objective: Traumatic brain injury (TBI) has become a worldwide public health issue, raising concerns about which tool might be useful to guide initial management at hospital admission, especially to decide whether the patient would benefit from an opportune surgical intervention. Recently, the glucose-to-potassium ratio has more accurate predictive values than other biomarkers and is useful for its simplicity to obtain. To correlate each biomarker with the outcome for every patient with TBI.Methods: The analysis included patients treated in a single institution between 2020 and 2021, diagnosed with mild TBI that required neurosurgery, moderate or severe TBI. Blood samples were obtained at admission, and the glucose-to-potassium ratio was calculated retrospectively. Then, these values and other variables were compared with the outcome at 6 and 12 months. Extracranial lesions that directly contributed to the outcome, a Glasgow Coma Scale of 3 and below, hemodynamic instability, and cardiac arrest were exclusion criteria.Results: Forty-seven patients who reached the criteria were examined, 35 (74%) had a favorable outcome and 12 (26%) a poor one. The only biomarker significantly related to the outcome was the glucose-to-potassium ratio in both the bivariate and multivariate analysis (p=0.04; odds ratio, 8.61; 95% confidence interval, 1.07-69.6).Conclusion: An increase in the glucose-to-potassium ratio was the only biomarker associated with poor outcomes and increased mortality.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 1","pages":"82-89"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/35/b3/kjn-19-82.PMC10083449.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9303849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Importance of Prophylactic Ligation of the Bridging Vein in Acute Subdural Hematoma: A Case Report. 急性硬膜下血肿预防性结扎桥静脉1例的临床意义。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e2

Jun Seok Park, Eui Gyu Sin

引用次数: 0

Traumatic Migration of a Shunt Valve Into the Cyst. 分流阀外伤性移入囊肿。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e6

El Kim

引用次数: 0

History and Current Status of Regional Trauma Centers. 区域创伤中心的历史和现状。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e7

Min Soo Kim

引用次数: 0

Rehabilitation for Impaired Attention in the Acute and Post-Acute Phase After Traumatic Brain Injury: A Narrative Review. 创伤性脑损伤急性期和急性期后注意力障碍的康复研究综述

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e1

Hoo Young Lee, Sung Eun Hyun, Byung-Mo Oh

{"title":"Rehabilitation for Impaired Attention in the Acute and Post-Acute Phase After Traumatic Brain Injury: A Narrative Review.","authors":"Hoo Young Lee, Sung Eun Hyun, Byung-Mo Oh","doi":"10.13004/kjnt.2023.19.e1","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e1","url":null,"abstract":"Impaired attention is the most common and debilitating cognitive deficit following a traumatic brain injury (TBI). Attention is a fundamental function that profoundly influences the performance of other cognitive components such as memory and execution. Intriguingly, attention can be improved through cognitive rehabilitation. This narrative review summarizes the essential elements of rehabilitation for attention problems in acute and post-acute TBI. In the acute phase of mild TBI, investigations into the medical history and daily life performance, neurological examination, screening and management of concomitant sleep-wake disorders or neuropsychiatric disorders, and support and education on the natural course of concussion are covered. Rehabilitation for patients with moderate-to-severe TBI consists of serial assessment for patients with disorders of consciousness and a post-traumatic confusion state. In the post-acute phase after TBI, components of rehabilitation include investigating medical history; neurological, imaging, and electrophysiological tests; evaluation and treatment of factors that may impact attention, including sleep-wake, emotional, and behavioral disorders; evaluation of attention function; and cognitive rehabilitation as a matter of course. We summarized metacognitive strategy, direct attention training, computer-based cognitive interventions, medication, and environmental control as interventions to enhance attention.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 1","pages":"20-31"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/2b/kjn-19-20.PMC10083445.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9303847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1