Association between Traumatic Subarachnoid Hemorrhage and Acute Respiratory Failure in Moderate-to-Severe Traumatic Brain Injury Patients

被引:1
|
作者
Li, Min [1 ]
Wang, Rui [2 ]
Fang, Qi-Xing [1 ]
He, Yi-Xuan [1 ]
Shi, Ying-Wu [1 ]
Ge, Shun-Nan [1 ]
Ma, Rui-Na [3 ]
Qu, Yan [1 ]
机构
[1] Fourth Mil Med Univ, Affiliated Hosp 2, Dept Neurosurg, Neurocrit Care Unit, Xian 710038, Peoples R China
[2] Fourth Mil Med Univ, Affiliated Hosp 2, Dept Med Management, Xian 710038, Peoples R China
[3] Fourth Mil Med Univ, Affiliated Hosp 2, Dept Pulm & Crit Care Med, Xian 710038, Peoples R China
关键词
traumatic brain injury; Fisher grade; subarachnoid hemorrhage; acute respiratory failure; ACUTE LUNG INJURY; IMPACT;
D O I
10.3390/jcm11143995
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute respiratory failure (ARF) with a high incidence among moderate-to-severe traumatic brain injury (M-STBI) patients plays a pivotal role in worsening neurological outcomes. Traumatic subarachnoid hemorrhage (tSAH) is highly prevalent in M-STBI, which is associated with significant adverse outcomes. In this retrospective cohort study, we aimed to explore the association between the severity of the tSAH and ARF in the M-STBI population. A total of 771 subjects were reviewed. Clinical and neuroimaging data of M-STBI patients were retrospectively collected, and ARF was ascertained retrospectively based on their electronic medical record. The degree of tSAH was classified according to Fisher's criteria, and the grade of tSAH was dichotomized to a low Fisher grade (Fisher grade 1-2) and a high Fisher grade (Fisher grade 3-4). After exclusion procedures, the data of 695 M-STBI patients were analyzed. A total of 284 (30.8%) had a high Fisher grade on admission. The overall rate of ARF within 48 h upon admission was 34.4% (239/695); it was 29.5% (142/481) and 46.3% (99/214) for the low and high Fisher groups, respectively. In a full cohort, a high Fisher grade was associated with ARF after adjusting for age, gender, GCS, smoking history, comorbidities, multiple injuries, characteristics of TBI, and pulmonary factors (OR 1.78; 95% CI, 1.11-2.85, p = 0.016). This result remained robust in the comparisons after PSM (71/132, 42.8% vs. 53/132, 31.9%; OR, 1.59; 95% CI, 1.02-2.49, p = 0.042). A high Fisher SAH grade exposure on admission is associated with ARF in M-STBI patients.
引用
收藏
页数:9
相关论文
共 50 条
  • [21] Acute Management of Moderate to Severe Traumatic Brain Injury
    Hudak, Anne
    Sabini, Rosanna
    Moen, Makinna
    Rothman, David
    PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA, 2024, 35 (03) : 479 - 492
  • [22] Validation of the revised injury severity classification score in patients with moderate-to-severe traumatic brain injury
    Raj, Rahul
    Brinck, Tuomas
    Skrifvars, Markus B.
    Kivisaari, Riku
    Siironen, Jari
    Lefering, Rolf
    Handolin, Lauri
    INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2015, 46 (01): : 86 - 93
  • [23] Physical Activity Intolerance and Cardiorespiratory Dysfunction in Patients with Moderate-to-Severe Traumatic Brain Injury
    Renee N. Hamel
    James M. Smoliga
    Sports Medicine, 2019, 49 : 1183 - 1198
  • [24] The Association Between Tranexamic Acid and Seizures in Moderate or Severe Traumatic Brain Injury
    Deshpande, David V.
    Mckinley, W. Ian
    Benjamin, Andrew J.
    Schreiber, Martin A.
    Rowell, Susan E.
    JOURNAL OF SURGICAL RESEARCH, 2024, 301 : 359 - 364
  • [25] The Evolution of Post-Traumatic Stress Disorder following Moderate-to-Severe Traumatic Brain Injury
    Alway, Yvette
    Gould, Kate Rachel
    McKay, Adam
    Johnston, Lisa
    Ponsford, Jennie
    JOURNAL OF NEUROTRAUMA, 2016, 33 (09) : 825 - 831
  • [26] Physical Activity Intolerance and Cardiorespiratory Dysfunction in Patients with Moderate-to-Severe Traumatic Brain Injury
    Hamel, Renee N.
    Smoliga, James M.
    SPORTS MEDICINE, 2019, 49 (08) : 1183 - 1198
  • [27] Individualised profiling of white matter organisation in moderate-to-severe traumatic brain injury patients
    Clemente, Adam
    Attye, Arnaud
    Renard, Felix
    Calamante, Fernando
    Burmester, Alex
    Imms, Phoebe
    Deutscher, Evelyn
    Akhlaghi, Hamed
    Beech, Paul
    Wilson, Peter H.
    Poudel, Govinda
    Dominguez D, Juan F.
    Caeyenberghs, Karen
    BRAIN RESEARCH, 2023, 1806
  • [28] Social and nonsocial cognition: Are they linked? A study on patients with moderate-to-severe traumatic brain injury
    Rodriguez-Rajo, P.
    Garcia-Rudolph, A.
    Sanchez-Carrion, R.
    Aparicio-Lopez, C.
    Ensenat-Cantallops, A.
    Garcia-Molina, A.
    APPLIED NEUROPSYCHOLOGY-ADULT, 2022, 29 (05) : 1039 - 1048
  • [29] Epidemiology of traumatic brain injury and subarachnoid hemorrhage
    León-Carrión J.
    Domínguez-Morales M. del R.
    Barroso y Martín J.M.
    Murillo-Cabezas F.
    Pituitary, 2005, 8 (3-4) : 197 - 202
  • [30] Cerebellar atrophy after moderate-to-severe pediatric traumatic brain injury
    Spanos, G. K.
    Wilde, E. A.
    Bigler, E. D.
    Cleavinger, H. B.
    Fearing, M. A.
    Levin, H. S.
    Li, X.
    Hunter, J. V.
    AMERICAN JOURNAL OF NEURORADIOLOGY, 2007, 28 (03) : 537 - 542