Korean Journal of Neurotrauma最新文献_第10页

Characteristics of Patients With Traumatic Brain Injury in a Regional Trauma Center: A Single-Center Study. 区域性创伤中心外伤性脑损伤患者的特征:一项单中心研究

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e14

Mahnjeong Ha, Seunghan Yu, Byung Chul Kim, Jung Hwan Lee, Hyuk Jin Choi, Won Ho Cho

{"title":"Characteristics of Patients With Traumatic Brain Injury in a Regional Trauma Center: A Single-Center Study.","authors":"Mahnjeong Ha, Seunghan Yu, Byung Chul Kim, Jung Hwan Lee, Hyuk Jin Choi, Won Ho Cho","doi":"10.13004/kjnt.2023.19.e14","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e14","url":null,"abstract":"Objective: The regional trauma center (RTC) in our hospital was established in November 2015. The Korean Trauma Data Bank (KTDB) was established in 2013 and maintains a prospective database. In this study, based on KTDB data, we investigated the characteristics of traumatic brain injury (TBI) in patients who visited our RTC.Methods: Between 2017 and 2021, we analyzed the data of 1,939 patients with TBI. Demographic characteristics of patients were recorded, and variables such as transfer information, mechanism of injury, severity, occupational relevance, multiple trauma, and surgery were analyzed. Hospital length of stay (LOS), fatality, and Glasgow outcome scale (GOS) were analyzed to confirm treatment outcomes.Results: This study enrolled 1,939 patients with a median age of 58 years and male predominance (75.5%). The transfer time decreased (from 1.95 hours to 1.1 hours) following an increase in the frequency of direct transfers to our hospital each year. Motor vehicle-related accidents (48.4%) were implicated as the most common cause, and the severity of TBI showed an increasing trend each year. The outcomes confirmed that the fatality rate and GOS scores deteriorated. The mean LOS in the hospital was 26.92 days, with a fatality rate of 23.6% (458 patients).Conclusion: In this study, we investigated characteristics and treatment outcomes associated with TBI. Our research confirms that patients with TBI are currently well triaged at the accident site and rapidly transferred to our RTC. Follow-up studies are necessary to establish strategies for improved treatment outcomes.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 1","pages":"6-19"},"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/74/7f/kjn-19-6.PMC10083453.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9673780","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

Measuring Catastrophic Costs in Families Facing Traumatic Brain Injury in Iran. 衡量伊朗面临创伤性脑损伤家庭的灾难性成本。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2022.18.e46

Elham Gheysvandi, Seyedeh Zahra Mohammadi, Mahdiyeh Najafpour Amirkiyasar, Enayatollah Homaie Rad, Leila Kouchakinejad-Eramsadati, Zahra Mohtasham-Amiri

{"title":"Measuring Catastrophic Costs in Families Facing Traumatic Brain Injury in Iran.","authors":"Elham Gheysvandi, Seyedeh Zahra Mohammadi, Mahdiyeh Najafpour Amirkiyasar, Enayatollah Homaie Rad, Leila Kouchakinejad-Eramsadati, Zahra Mohtasham-Amiri","doi":"10.13004/kjnt.2022.18.e46","DOIUrl":"https://doi.org/10.13004/kjnt.2022.18.e46","url":null,"abstract":"Objectives: Traumatic brain injury (TBI) is preventable and expensive. The medical costs of TBI can be too high for some households and might lead to poverty, malnutrition, and loss of assets, which are called catastrophic expenditures. In this study, we investigated the incidence of catastrophic costs associated with TBI caused by road accidents in a province in northern Iran.Methods: This prospective study involved a 1-year follow-up after the accident. Data of 220 patients were collected from the medical records of the Poursina Hospital, Rasht, Iran from March 2018 to February 2020. Direct and indirect costs faced by the households of patients with TBI and catastrophic costs related to TBI were calculated. Regression models were obtained and sensitivity analyses were performed at the end of the study.Results: In total, the prevalence of households TBI-related catastrophic costs (TBICC) was 45.5% . Households of female patients (odds ratio [OR]: 0.289, p=0.042), households of retired patients (OR: 0.053, p=0.005), and households falling in the fifth quintile of wealth (OR: 0.370, p=0.050) faced lower TBICC compared to other groups. The Activities of Daily Living scores had a significant negative relationship with TBICC.Conclusions: Political interventions such as implementation of insurance schemes, exemptions from payment for certain groups, identification of poor households, and coverage of assistance services can protect households from catastrophic health expenditures.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 1","pages":"53-62"},"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/8f/6c/kjn-19-53.PMC10083442.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9303854","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

A Spectacular Penetrating Craniocerebral Trauma From a Rake: A Case Report. 耙致突发性颅脑外伤1例。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e8

Kaouther Somrani, Ghassen Gader, Mohamed Badri, Ihsen Zammel, Mouna Rkhami

{"title":"A Spectacular Penetrating Craniocerebral Trauma From a Rake: A Case Report.","authors":"Kaouther Somrani, Ghassen Gader, Mohamed Badri, Ihsen Zammel, Mouna Rkhami","doi":"10.13004/kjnt.2023.19.e8","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e8","url":null,"abstract":"Penetrating intracranial foreign bodies are rare and have a high potential for death or serious morbidity. Their surgical management is complicated and challenging. Herein, we present the case of a 30-years-old man who was a victim of aggression from a rake blow to the head. The rake's teeth were embedded in his cranium, crossing the midline. The surgery was delicate and had to be well studied because two of the rake's teeth plunged into the superior sagittal sinus (SSS). The patient recovered a perfect state of consciousness and was discharged with squealer right upper limb monoparesia. Penetrating intracranial foreign bodies are rare. Few studies have reported on the removal of such foreign bodies, particularly in cases where the foreign body is close to or penetrates the SSS. They cause spectacular cranial trauma and a greater volume of the object. The aim of surgery is to remove the object without worsening the parenchymal and vascular cerebral lesions. This maneuver was delicate. A craniectomy is recommended around the penetrating object before it is carefully extracted with or without opening the dura mater.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 1","pages":"109-114"},"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/1b/54/kjn-19-109.PMC10083454.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9303845","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

Comparison of Midazolam and Propofol Infusion to Suppress Stress Response in Patients With Severe Traumatic Brain Injury: A Prospective, Randomized Controlled Trial. 咪达唑仑与异丙酚输注抑制严重创伤性脑损伤患者应激反应的比较:一项前瞻性随机对照试验。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e4

Mallikarjun Kurni, Narender Kaloria, Amarjyoti Hazarika, Kajal Jain, Sunil Kumar Gupta, Rama Walia

{"title":"Comparison of Midazolam and Propofol Infusion to Suppress Stress Response in Patients With Severe Traumatic Brain Injury: A Prospective, Randomized Controlled Trial.","authors":"Mallikarjun Kurni, Narender Kaloria, Amarjyoti Hazarika, Kajal Jain, Sunil Kumar Gupta, Rama Walia","doi":"10.13004/kjnt.2023.19.e4","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e4","url":null,"abstract":"Objective The stress response following traumatic brain injury (TBI) is a preventable cause of secondary brain injury. This can be prevented using sedation in the intensive care unit (ICU). To date, the choice of sedative agent for preventing stress response is not well-studied in literature. Methods This prospective randomized controlled trial included 60 patients with severe TBI admitted to ICU. The patients were randomized into 2 study groups according to the choice of sedation: propofol (group I) and midazolam infusion (group II). The serum cortisol was measured as the primary outcome at admission to ICU and 48 hours following sedation infusion. The baseline Glasgow coma scale, hemodynamic, optic nerve sheath diameter (ONSD), and computed tomography scan findings were noted at admission. Glasgow outcome scale (GOS) was measured as a neurological outcome at discharge from ICU. Results There was a statistically significant reduction in serum cortisol level in both the study groups (Δ cortisol, p-value=134.91 (50.5,208.2), 0.00 and 118.8 (42.6,160.4), 0.00, in group I and II, respectively). Serum cortisol levels were comparable among both groups at baseline and 48 hours. Similarly, there was a statistically significant difference in ONSD in both groups, but there was no difference in ONSD value between the groups at 48 hours. The GOS was also similar in both groups at discharge from ICU. Conclusion The study demonstrated a similar reduction in serum cortisol levels following 48 hours of propofol or midazolam infusion in patients with severe TBI.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 1","pages":"70-81"},"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/75/ad/kjn-19-70.PMC10083446.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9303853","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

Preventable Trauma Death Rate in South Korea. 韩国可预防的创伤死亡率。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e5

In-Ho Jung, Jung-Ho Yun, Sang Koo Lee

引用次数: 1

Risk Factors for Postoperative Contralateral Hemorrhage in Patients With Traumatic Brain Injury who Underwent Surgical Treatment: A Multicenter Study. 创伤性脑损伤术后对侧出血的危险因素:一项多中心研究。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e3

In-Ho Jung, Jung-Ho Yun, Sang Koo Lee

{"title":"Risk Factors for Postoperative Contralateral Hemorrhage in Patients With Traumatic Brain Injury who Underwent Surgical Treatment: A Multicenter Study.","authors":"In-Ho Jung, Jung-Ho Yun, Sang Koo Lee","doi":"10.13004/kjnt.2023.19.e3","DOIUrl":"https://doi.org/10.13004/kjnt.2023.19.e3","url":null,"abstract":"Objective: Patients with a contralateral intracranial hemorrhage after decompressive craniectomy have a worse prognosis than those whose recovery is uneventful. Therefore, the objective of this study was to identify risk factors for postoperative contralateral hemorrhage (PCH) in patients who underwent unilateral craniectomy or craniotomy due to a traumatic brain injury (TBI).Methods: Data were obtained from the Korean Neuro-Trauma Data Bank System and retrospectively reviewed. Patients who had a unilateral craniectomy or craniotomy for acute TBI were included in this study. Clinical outcomes of a PCH group and an uneventful group were compared and the risk factors for PCH were identified using regression analysis.Results: A total of 326 patients were included in this study. PCH was observed in 25 (7.7%) patients. The Glasgow coma scale (GCS) and Glasgow outcome scale extended (GOSE) scores at discharge were significantly lower in the PCH group than those in the uneventful group (GCS: 3.6 vs. 6.2, p=0.043; GOSE: 2.1 vs. 3.2, p=0.032). In the multivariable regression analysis, when the time from injury to surgery was shorter than 150 minutes, the risk of PCH was increased by 4.481 times (p=0.005). When the intraoperative transfusion volume was more than 1.5 L, the risk of PCH was increased by 4.843 times (p=0.003).Conclusion: The risk of PCH is increased when the time from injury to surgery is shorter than 150 minutes and when the intraoperative transfusion volume is greater than 1.5 L. Neurosurgeons must predict and be prepared for the development of PCH in high-risk patients.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 1","pages":"42-52"},"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/ba/3b/kjn-19-42.PMC10083440.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9303848","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

Letter to the Editor: Commentary on Does the COVID-19 Screening Test Affect the Postoperative Prognosis of Patients Who Undergo Emergency Surgery for Cerebral Hemorrhage? (Korean J Neurotrauma 2022;18:198-207). 致编辑:评论COVID-19筛查检测是否影响脑出血急诊手术患者的术后预后?(韩国神经创伤杂志2022;18:198-207)。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e10

Giyong Yun, Hyuk Jin Oh

引用次数: 0

Letter to the Editor: Commentary on Progression of Ossification of Posterior Longitudinal Ligament After Anterior Cervical Discectomy and Fusion in Military Patients Exposed to Minor Trauma (Korean J Neurotrauma 2022;18:254-267). 致编者的信:对暴露于轻微创伤的军人颈前椎间盘切除术和融合后后纵韧带骨化进展的评论(韩国神经创伤杂志2022;18:254-267)。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2023.19.e12

Myeong Jin Ko

引用次数: 0

Basilar Skull Fractures and Their Complications in Patients With Traumatic Brain Injury. 外伤性脑损伤患者基底颅骨骨折及其并发症。

Korean Journal of Neurotrauma Pub Date : 2023-03-01 DOI: 10.13004/kjnt.2022.18.e49

Mehdi Shafiei, Bahram Aminmansour, Mehdi Mahmoodkhani, Mohammadamin Seyedmoalemi, Donya Sheibani Tehrani

{"title":"Basilar Skull Fractures and Their Complications in Patients With Traumatic Brain Injury.","authors":"Mehdi Shafiei, Bahram Aminmansour, Mehdi Mahmoodkhani, Mohammadamin Seyedmoalemi, Donya Sheibani Tehrani","doi":"10.13004/kjnt.2022.18.e49","DOIUrl":"https://doi.org/10.13004/kjnt.2022.18.e49","url":null,"abstract":"Objective: Since traumatic brain injury is more common in young people, who are the main workforce and builders of society, it is important to consider the effects caused by brain injury on them. In this study, we investigated the clinical manifestations, complications, and prognosis of patients with basilar skull fractures.Methods: This cross-sectional study was conducted from March 2021 to March 2022 at the Kashani Hospital, Esfahan, Iran. Patients with basilar skull fractures were included in this study by census for one year. Recorded patient information was divided into two parts: demographic information, including age and sex, and disease information including loss of consciousness, signs of meningitis, need for surgery, and neurologic examination.Results: In this study, 100 patients were included, of whom 89 were men. The most common complication was pain at the site of the trauma, followed by bruising and bleeding from the site of the trauma. Raccoon eyes and cerebrospinal fluid leakage were observed in 19% and 32% of the patients, respectively.Conclusion: As the occurrence of trauma has an economic burden on the country's health system, we must identify its consequences and problems and prevent its occurrence as much as possible by implementing educational measures.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"19 1","pages":"63-69"},"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/2c/91/kjn-19-63.PMC10083455.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9673779","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

Epidural Hematoma, a Rare Complication After the Use of Mayfield Clamp: A Case Report and Review of the Literature 硬膜外血肿，一个罕见的并发症后使用梅菲尔德钳:1例报告和文献复习

Korean Journal of Neurotrauma Pub Date : 2023-01-01 DOI: 10.13004/kjnt.2023.19.e39

Martin Plevko, Václav Vybíhal, Marek Sova, Pavel Fadrus, Martin Smrčka

引用次数: 0