Factors Affecting Mortality in Severe Traumatic Brain Injury in Adults at a Teaching Hospital in Dakar
Objective: To assess factors contributing to mortality of adult pobents admitted to intensive care units for severe
traumatic brain injury (TBI).
PaJients and methods: This is a retrospective, descriptive and analytical study. lncluded in the study wcre ali adults
patients admitted for severe TBI. From the hospital records, socio-demographic, clinicat, and paraclinical data was
collected. Data on bandling by the intensive care unit and the complications that occurred dwing this period were also
collecled The Epi-data software wns used to enter the data and the Epi-info software for the data analysis. The Chi 2
test and F1sher exact lest \\~re used for data aoalysis for probabtli~ testing Vlhere appropnale A p-value < 0,05 VIas
considered as statistically stgruficant.
Resu/Js: Over the period of the study, 124 severe TBI were admitted m the neurological resuscitalton unit of the Dakar
Fann Teaching Hospital, representing 39.2% of ali TBL The avemge age of the patients was 41 6 years [15-74 years].
The Glasgow score was between 7 and8 for 74 patients (60.3%) and between3 and6 for 50 patients (39.7%). Mortality
rate wns at 63.2%. Age~ .. 60 y cars, low blood pressure, hypoxaemia, and hypernatrcmia wcre the factors associated
with an increased mortality.
Conclusion: Prognosis for severe TBI is narrowly tied to the occurrence of secondary brain attack factors from a
systemic origin. Their carly prevention and handling should be a primary concern for resuscitation specialists.
Keywords: Severe TBI, Secondary brain attacks of systemic origin, lactors affecting Mortality.
Auteur(s) : BAH M.D, FALL M. L, LEYE PA, NDIAYE P. I, BEYE M. D, KANE O, DIOUF E.
Pages : 6-9.
Année de publication : 2015
Revue : African Journal of Anesthesia and Intensive Care
N° de volume : 15 (2)
Type : Article
Mise en ligne par : DIOUF Elisabeth