Clinical outcome and prognostic factors in elderly traumatic brain injury patients receiving neurointensive care

AbstractBackgroundThe probability of favorable outcome after traumatic brain injury (TBI) decreases with age. Elderly, ≥ 60 years, are an increasing part of our population. Recent studies have shown an increase of favorable outcome in elderly over time. However, the optimal patient selection and neurointensive care (NIC) treatments may differ in the elderly and the young. The aims of this study were to examine outcome in a larger group of elderly TBI patients receiving NIC and to identify demographic and treatment related prognostic factors.MethodsPatients with TBI  ≥ 60 years receiving NIC at our department between 2008 and 2014 were included. Demographics, co-morbidity, admission characteristics, and type of treatments were collected. Clinical outcome at around 6 months was assessed. Potential prognostic factors were included in univariate and multiv ariate regression analysis with favorable outcome as dependent variable.ResultsTwo hundred twenty patients with mean age 70  years (median 69; range 60–87) were studied. Overall, favorable outcome was 46% (Extended Glasgow Outcome Scale (GOSE) 5–8), unfavorable outcome 27% (GOSE 2–4), and mortality 27% (GOSE 1). Significant independent negative prognostic variables were high age (p 
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research

Related Links:

Conclusion: The narrative intervention program was effective in enhancing children ’s AM. However, further investigation is required to provide clinical evidence for speech and language therapists to employ this program for children with primary language impairments.Folia Phoniatr Logop
Source: Folia Phoniatrica et Logopaedica - Category: Speech-Language Pathology Source Type: research
Conclusions: The Italian version of the SHI showed high values of reliability and validity scores. It is a good instrument to evaluate the impact of speech impairment in patients with oral and oropharyngeal cancer.Folia Phoniatr Logop
Source: Folia Phoniatrica et Logopaedica - Category: Speech-Language Pathology Source Type: research
Conclusion: Children with CL/P show less non-nutritive sucking habits, but more snoring compared to a control group without CL/P. Although further research regarding the oral habits in children with CL/P is necessary, cleft teams should give attention to the occurrence of oral habits.Folia Phoniatr Logop
Source: Folia Phoniatrica et Logopaedica - Category: Speech-Language Pathology Source Type: research
Conclusion: The MAS was developed to assess the safety and efficacy of swallowing during meal. A validation process should be conducted.Folia Phoniatr Logop
Source: Folia Phoniatrica et Logopaedica - Category: Speech-Language Pathology Source Type: research
The outcome of the Iraq invasion has done little to alter the factors that have led American leaders and the public into unwise military adventures. Today's big idea of America's mission is not so different from what it was in 2003. Any number of events could spark a new moral imperative to act.
Source: The RAND Blog - Category: Health Management Authors: Source Type: blogs
Public Health Genomics
Source: Public Health Genomics - Category: Genetics & Stem Cells Source Type: research
Conclusions: Return of IRR in conjunction with cancer prevention counseling led to low levels of test-specific distress and uncertainty among carriers. No other adverse psychological outcomes were observed.Public Health Genomics
Source: Public Health Genomics - Category: Genetics & Stem Cells Source Type: research
In this study, we evaluated the in vitro effects of five antimicrobials against biofilms formed by Klebsiella pneumoniae in ETTs. K. pneumoniae was added to minimal mucin medium prior to inoculation in microtiter plates containing ETT fragments. Biofilm susceptibility was assessed by crystal violet staining. At 24 h, the antimicrobials significantly reduced biofilm formation. At 48 h, all of the antimicrobial agents exhibited significant reductions in biofilm formation, even at concentrations above the minimum inhibitory concentration (MIC). Tigecycline and fosfomycin showed the greatest inhibition capacity, ...
Source: Journal of Chemotherapy - Category: Cancer & Oncology Tags: J Chemother Source Type: research
The renin-angiotensin-aldosterone system (RAAS) plays a major role in the regulation of blood pressure, renal hemodynamic, myocardial contractility via an enzymatic cascade leading to the synthesis of angiotensin 2. The activation of the RAAS system after acute kidney injury triggers renal inflammation and fibrotic process with long-term damaging consequences. To date, there is still a debate on the benefits of RAAS for the kidney in acute settings. Effects of RAAS antagonists are variable in chronic or acute conditions. The aim of this review is to discuss the renal and systemic effects of the RAAS, and its modulation, in...
Source: Nephron - Category: Urology & Nephrology Source Type: research
Conclusion: The translated versions of InCaSaQ, ICAT, ISCQ and ICDQ are reliable and valid, allowing self-reported assessment of satisfaction, acceptance, difficulties and quality of life related to ISC in Dutch-speaking patients with NLUTD.Urol Int
Source: Urologia Internationalis - Category: Urology & Nephrology Source Type: research
More News: Brain | Neurology | Neurosurgery | Study