- Poster presentation
- Open Access
Impact of severe polytrauma on severe brain injured patients
- Published: 21 March 2006
Keywords
- Glucose
- Heart Rate
- Systolic Blood Pressure
- Mechanical Ventilation
- Emergency Medicine
Introduction
We retrospectively investigated the impact of polytrauma (ISS > 16) on a population of severe brain injured (SBI) patients (GCS < 8).
Patients and methods
Thirty consecutive patients with SBI and polytrauma (Group I) were matched with 30 patients with SBI (Group II) treated during the same period. The matching criteria were age +4 years, gender, APACHE II +1, and same GCS. The ICU mortality, length of ICU stay (LOS), duration of intubation, mechanical ventilation (MV), sedation and analgesia were assessed. Patient characteristics (age, gender), severity of illness (APACHE II, GCS), serum Na+ and glucose, systolic blood pressure (SBP), heart rate (HR) and core temperature were recorded on admission to the ICU. Statistical analysis was performed with the Mann–Whitney U test and statistical significance was considered as P < 0.05.
Results
(abstract P451)
Group I | Group II | P value | |
|---|---|---|---|
Age | 40.8 ± 19.3 | 42.7 ± 20.6 | 0.6 |
Gender (male:female) | 26:5 | 25:5 | 0.8 |
APACHE II | 18.1 ± 7.2 | 17.2 ± 6.2 | 0.4 |
GCS | 5.6 ± 2.4 | 5.6 ± 2.2 | 0.9 |
Glucose | 144.9 ± 33.5 | 146.3 ± 37.6 | 0.8 |
Na+ | 139.9 ± 5.9 | 140.7 ± 5.9 | 0.5 |
HR | 103.7 ± 20.6 | 99.4 ± 17.1 | 0.4 |
(abstract P451)
Group I | Group II | P value | |
|---|---|---|---|
LOS (days) | 25.3 ± 18.9 | 16.0 ± 9.4 | 0.03 |
MV (days) | 17.6 ± 7.6 | 11.4 ± 6.9 | 0.6 |
Intubation (days | 21.5 ± 18.8 | 13.6 ± 9.3 | 0.05 |
Mortality | 8 (26.6%) | 5 (16.6%) | 0.9 |
Sedation (days) | 16.4 ± 10.4 | 10.2 ± 6.3 | 0.3 |
Analgesia (days) | 19.3 ± 1.1 | 11.7 ± 0.9 | 0.08 |
SBP (mmHg) | 90.4 ± 13.7 | 92 ± 20.7 | 0.04 |
Temperature | 36.7 ± 1.15 | 37.3 ± 1.0 | 0.04 |
Conclusion
Patients with SBI and polytrauma had a lower admission SBP and temperature, a longer ICU stay, more intubation and sedation days without differences in ventilation days and ICU mortality.
