Adherence to brain trauma foundation guidelines for intracranial pressure monitoring in severe traumatic brain injury and the effect on outcome: A population-based study.

The objective of this study was to provide an overview of whether adherence to brain trauma foundation (BTF) guidelines improved outcomes following TBI utilizing intracranial pressure (ICP) monitoring. Methods: This cohort study between 2000 and 2013 involved 1848 patients who sustained severe blunt TBI. Outcomes were correlated with whether or not ICP monitoring was utilized based on BTF guidelines. Results: The BTF guideline adherence rate for utilizing ICP monitoring in patients with TBI was 30% in 1848 patients. Adherence rates positively correlated with younger age, high injury severity scores, lower Glasgow Coma Scores, abnormal computed tomography scans of the head, performance of a craniotomy, neurocritical care unit admission, the lack of alcohol intoxication, and the absence of a cardiac arrest. Greater adherence to BTF guidelines was associated with higher mortality rates (OR 2.01, 95% CI: 1.56-2.59, P
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Related Links:

Abstract Fetal alcohol spectrum disorder (FASD) is a diagnostic term used to describe an array of structural, neurocognitive, and behavioral effects that result from prenatal alcohol exposure. While ongoing efforts have been made to increase the capacity of communities to provide early FASD diagnosis, there continues to be on-going challenges, particularly for remote and rural communities. Telehealth is the use of technology to connect communities at a distance and has been effectively used in medicine for several decades. This literature review describes the use of telehealth in FASD and other developmental disab...
Source: Journal of Autism and Developmental Disorders - Category: Psychiatry Authors: Tags: J Autism Dev Disord Source Type: research
We examined the associations of healthy behaviors at age 50, singly and in combination, as well as 10-year change in the number of healthy behaviors over midlife with future risk of frailty. Methods and findingsIn this prospective cohort study of 6,357 (29.2% women; 91.7% white) participants from the British Whitehall II cohort, healthy behaviors —nonsmoking, moderate alcohol consumption, ≥2.5 hours per week of moderate to vigorous physical activity, and consumption of fruits or vegetables at least twice a day—were measured at age 50, and change in behaviors was measured between 1985 (mean age = 44.4) and 19...
Source: PLoS Medicine - Category: Internal Medicine Authors: Source Type: research
Conclusion: Most reports of violence against women recorded in health services were perpetrated by an intimate partner, especially physical, psychological and sexual violence. It was possible to identify factors associated with IPV such as age, education, pregnancy, occurrence at home, recurrence and alcohol consumption by the aggressor.
Source: Revista Brasileira de Epidemiologia - Category: Epidemiology Source Type: research
Road accident is a global tragedy with ever rising trend and endless. Road traffic injuries were among the leading causes of death, life-long disability and property damage in this world. According to World Health Organization, 2018 report; road traffic de...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
INTRODUCTION: The number of fatality and the disability due to motorcycle collisions is being increasing globally and most of them are preventable tragedies. Motorcycle riders are a major vulnerable group of road users and the severity of crashes could be ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
Cancer care is changing; cancer patients are becoming older and most patients will have one or more comorbidities. In high-income countries, the population of cancer survivors is growing at a rate of about 2% per year, and the coexistence of several chronic diseases is increasing dramatically [1]. ‘Multimorbidity’ is a broad term used to describe the existence of two or more chronic conditions within an individual patient, which can include mental as well as physical conditions, ongoing conditions such as learning disability, symptom complexes such as frailty or chronic pain, sensory impa irment such as sight o...
Source: Clinical Oncology - Category: Radiology Authors: Tags: Editorial Source Type: research
BACKGROUND: Depression is the greatest contributor to worldwide disability. The purpose of this study was to understand the influence of antidepressant and psychotherapy treatment adherence on future work leaves for patients with major depressive disorder....
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
In my work as a holistic career coach for nurses, there's one thing I've noticed more than anything else: mindset matters to your nursing and healthcare career. From putting together a resume and writing a cover letter to sitting for an interview or reaching out to potential connections on LinkedIn, your mindset and its attendant attitude make all the difference. Photo by Olivier Rule on Unsplash.comI've worked with hundreds of nurse clients over the last decade, and I've seen everything from utter defeatism to those whose optimism and drive are quite something to behold despite tough odds, personal struggles, and a h...
Source: Digital Doorway - Category: Nursing Tags: career career development career management careers healthcare careers nurse career nurse careers nursing careers Source Type: blogs
ConclusionsMental and substance use disorders represent an important cause of disability in 2015 for Peru. Depressive and anxiety disorders were found to be the most prominent cause of disease burden across all age groups, particularly among females. Peru must make the prevention and treatment of mental disorders a public health priority.
Source: Journal of Public Health - Category: Health Management Source Type: research
Intellectual disability syndrome (IDS) associated with a hereditary persistence of fetal haemoglobin (HbF), also known as Dias-Logan syndrome, is commonly characterised by psychomotor developmental delay, intelectual disability, language delay, strabismus, thin upper lip, abnormalities of external ears, microcephaly, downslanting palpebral fissures. Sporadically, autism spectrum disorders and blue sclerae in infancy have been reported in IDS. Rarely, IDS-affected patients present with epilepsy and/or epileptic syndromes. It has been shown that a haploinsufficiency of the B cell leukaemia/lymphoma 11A gene (BCL11A) is respo...
Source: Molecular Syndromology - Category: Molecular Biology Source Type: research
More News: Alcoholism | Brain | Craniotomy | CT Scan | Disability | Neurology | Neurosurgery | PET Scan | Study