印度重型颅脑损伤队列入院特征和预后与发达国家早期流行病学研究的比较

V. Kamal, D. Kumari, P. RavindraMohan, Ey, D. Agrawal, A. Pál
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引用次数: 0

摘要

从政策制定和研究的角度来看,我们的目的是比较严重创伤性脑损伤(TBI)患者与发达国家的数据,这些国家的医疗设施比发展中国家要完善得多。在这项回顾性研究中,我们描述并比较了严重TBI患者6个月时的人口学、临床、继发性损伤相关特征和结局(基于格拉斯哥结局量表);2010年5月至2012年7月,根据急诊科格拉斯哥昏迷量表,在新德里AIIMS的Jai Prakash Narayan顶点创伤中心(JPNATC)的神经外科重症监护室住院;与著名的研究从发达的设置使用描述性统计。我们发现,与发达国家相比,印度的年轻患者负担很大,其中大多数是患有严重脑外伤的男性。与发达国家相比,6个月的随访数据少得多,死亡比例高。在发生严重脑外伤的情况下,这些资料对制订中心/国家/国际一级的政策和方案、提高公众认识、拟订新的行动计划都很有价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of the Admission Characteristics and Outcomesof Indian Severe TBI Cohort with Earlier EpidemiologicStudies of Developed Nations
From policymaking and research point of view, our aim is to compare data of patients with severe traumatic brain injury (TBI) with developed settings, where health care facilities are much enhanced as compared to developing settings. In this retrospective study, we described and compared demographic, clinical, secondary insult related characteristics, and outcomes at 6-months (based on Glasgow outcome scale) of our patients with severe TBI; based on emergency department Glasgow coma scale, admitted to neurosurgery Intensive Care Unit at Jai Prakash Narayan Apex Trauma Centre (JPNATC), AIIMS, New Delhi, during May 2010–July 2012; with famous studies from developed settings using descriptive statistics. We found that there is a huge burden of young patients, mostly males with severe TBI in India as compared to developed settings. Follow-up data for 6-months outcome were very much lesser and outcome as death was in high proportion as compared to developed settings. In case of severe TBI, this information can be valuable in formulation of policies and programmes at centre/national/international level, increasing public awareness, developing new action plans.
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