TREATMENT RESULTS EVALUATION IN PATIENTS WITH SEVERE SEPSIS, CAUSED BY SEVERE TRAUMATIC BRAIN INJURY AT INTENSIVE CARE UNIT OF TERNOPIL UNIVERSITY HOSPITAL
Journal Title: Health Problems of Civilization - Year 2016, Vol 10, Issue 1
Abstract
Background. Severe traumatic brain injury stays one of the main reasons of humans’ mortality until the age of 40. Ternopil University Hospital delivers medical care to the patients with neurosurgical pathology of Ternopil region, which is comprised of 1 107 000 citizens. Material and methods. In this paper we analyzed the treatment results of 301 patients with severe traumatic brain injury (STBI), who were treated at intensive care unit of Ternopil University Hospital during 2013-2014. Microbiological research and evaluation of results were accomplished according to generally accepted principles, based on the Bergey’s classification. Results. In 72 patients it was complicated by severe sepsis. The mortality rate in clinic reached 29.7 % in 2013-2014, or equals 1.9 person per 100 000 of population. Among the intensive care unit patients with STBI, who had the surgery based on this pathological condition, sepsis developed in 23.9% of patients. Acute respiratory distress syndrome (ARDS), which complicated sepsis, was successfully cured in 73.3% of cases, by additional usage of traditional ventilation, kinesiotherapy, oxygen therapy and pulse therapy with glucocortisteroids (GS). 22.2% of patients obtained acute renal failure, 9.72% of patients were treated by implementing hemodialysis. Concomitant polytrauma was present in 23.9% of patients. Conclusions. Theusageof pulse therapy with glucocortisteroids additionally to traditional mechanical ventilation, kinesiotherapy, and oxygen therapy for the treatment of acute respiratory distress syndrome helps to improve the life expectancy of patients.
Authors and Affiliations
Oleksandr V. Oliynyk, Bohdana O. Pereviznyk, Anna Ślifirczyk, Oleh V. Yemiashev, Nataliya I. Krasiy
Keywords
Related Articles
- EP ID EP217152
- DOI 10.5114/hpc.2016.58201
- Views 53
- Downloads 0
MORPHOLOGIC CHANGES IN THE NODULAR GOITRE INDUCED BY THE LIGASURE HIGH FREQUENCY CURRENT GENERATOR
Today, surgical dissection and tissue coagulation with both monopolar and bipolar coagulation as well as LigaSure high frequency current generator (HFCG) are the surgical modalities of choice in the treatment of thyroid...
FEATURES OF PHARMACOTHERAPY OF HEPATIC ENCEPHALOPATHY MANIFESTATIONS IN LIVER CIRRHOSIS
The aim of this work is to study the effect of drug mebikaron the clinical manifestations of hepatic encephalopathy in patients with liver cirrhosis. The study involved 34- patients with cirrhosis of different etiologies...
Management of child injuries in traffic and other accidents: the WHO policy guidelines
hildren injuries are one of the biggest problems in modern medicine that require vigorous and preventive actions. All kinds of injuries resulting from road accidents are the most common cause of death in children, more c...
Physical development and body composition parameters in 4-11-year-old children
Background In this paper, we present the results of the study concerning body development and body composition parameters dependency. Material and methods The monitored sample consisted of 78 probands aged of 4 – 11 yea...
PHYSICAL ACTIVITY LEVELS AND SCREEN-BASED ACTIVITIES IN MACEDONIAN SCHOOL-AGED CHILDREN AND YOUNG ADOLESCENTS: AN IMPORTANT PUBLIC HEALTH PRIORITY
<b>Background. </b> A wide range of studies have confirmed that insufficient physical activity levels and screen-based activities are key risk factors for overweight and obesity, chronic conditions and significant noncom...