Apache ІІ score as predictor for outcome of traumatic brain injury (TBI).

Document Type : Original Article

Authors

1 Anaesthesia and ICU, faculty of medicine,Minia university

2 anesthesia and intensive care department , minia university,mimia university hospital, minia ,egypt

3 Anesthesiology and ICU, faculty of medicine, Elminya university

4 Clinical pathology department, Faculty of medicine, Minia Univerisity

Abstract

Abstract

Background :Some scoring systems, such as Acute Physiology and Chronic Health Evaluation II (APACHE II), are used to predict mortality, but they are not specialized for traumatic brain injury. The present study aims to evaluate performances of Acute Physiology and Chronic Health Evaluation II (APACHE II) to predict mortality in traumatic brain injuries.

Methods : In this study, 50 patients who were treated in anesthesiology intensive care unit diagnosed as moderate to severe traumatic brain injury were included. Patients under the age of 18, foreigners patients with incomplete data were excluded from this study. APACHE II score in the first 24 hours was counted up.

Results: Of the 50 patients, 45 (90%) were males and 5 (10%) were females. The overall mortality was 44% (22/50). The mean APACHE II score was 21.08±14.8. This represents mortality probability 40%

Conclusion: APACHE II can predict the mortality of TBI in the ICU.

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 17 January 2024

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