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

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Document Type : Original Article

Authors

1 Anesthesiology and Intensive Care Department, Faculty of Medicine, Minia University, Minia, Egypt

2 Clinical Pathology Department, Faculty of Medicine, Minia University, Minia, Egypt

Abstract

Background: Acute Physiology and Chronic Health Evaluation II (APACHE II) is one scoring system that is used to predict mortality; however, it is not specifically designed for traumatic brain injury. The aim of this study is to evaluate the APACHE II score in predicting mortality in traumatic brain injury patients. Methods: This study comprised fifty patients with moderate to severe traumatic brain injury who were receiving treatment in an intensive care unit of the anesthesiology department faculty of medicine, Minia University. Patients under the age of eighteen, patients with chronic co-morbidities, and patients with insufficient data were not included in this research. The initial 24-hour APACHE II score was calculated. Results: Five patients (10%) were female, and the remaining 45 patients (90%) were male. There was a 44% overall mortality rate (22/50). The median APACHE II score was higher in dead patients than in survivors. Conclusion The APACHE II score can predict the mortality of traumatic brain injury patients in the intensive care unit.

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Minia Journal of Medical Research

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

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