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Improved Outcomes following the Establishment of a Neurocritical Care Unit in Saudi Arabia
المؤلفون المشاركون
Karakitsos, Dimitrios
Alharthy, Abdulrehman
Aletreby, Waleed Tharwat
Mady, Ahmed Fouad
Soliman, Ibrahim
Faqihi, Fahad
Mahmood, Nasir Nasim
Ramadan, Omar E.
Kahlon, Babar
Brindley, Peter
المصدر
Critical Care Research and Practice
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-07-18
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Dedicated neurocritical care units have dramatically improved the management and outcome following brain injury worldwide.
Aim.
This is the first study in the Middle East to evaluate the clinical impact of a neurocritical care unit (NCCU) launched within the diverse clinical setting of a polyvalent intensive care unit (ICU).
Design and Methods.
A retrospective before and after cohort study comparing the outcomes of neurologically injured patients.
Group one met criteria for NCCU admission but were admitted to the general ICU as the NCCU was not yet operational (group 1).
Group two were subsequently admitted thereafter to the NCCU once it had opened (group 2).
The primary outcome was all-cause ICU and hospital mortality.
Secondary outcomes were ICU length of stay (LOS), predictors of ICU and hospital discharge, ICU discharge Glasgow Coma Scale (GCS), frequency of tracheostomies, ICP monitoring, and operative interventions.
Results.
Admission to NCCU was a significant predictor of increased hospital discharge with an odds ratio of 2.3 (95% CI: 1.3–4.1; p=0.005).
Group 2 (n = 208 patients) compared to Group 1 (n = 364 patients) had a significantly lower ICU LOS (15 versus 21.4 days).
Group 2 also had lower ICU and hospital mortality rates (5.3% versus 10.2% and 9.1% versus 19.5%, respectively; all p<0.05).
Group 2 patients had higher discharge GCS and underwent fewer tracheostomies but more interventional procedures (all p<0.05).
Conclusion.
Admission to NCCU, within a polyvalent Middle Eastern ICU, was associated with significantly decreased mortality and increased hospital discharge.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Soliman, Ibrahim& Aletreby, Waleed Tharwat& Faqihi, Fahad& Mahmood, Nasir Nasim& Ramadan, Omar E.& Mady, Ahmed Fouad…[et al.]. 2018. Improved Outcomes following the Establishment of a Neurocritical Care Unit in Saudi Arabia. Critical Care Research and Practice،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1130415
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Soliman, Ibrahim…[et al.]. Improved Outcomes following the Establishment of a Neurocritical Care Unit in Saudi Arabia. Critical Care Research and Practice No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1130415
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Soliman, Ibrahim& Aletreby, Waleed Tharwat& Faqihi, Fahad& Mahmood, Nasir Nasim& Ramadan, Omar E.& Mady, Ahmed Fouad…[et al.]. Improved Outcomes following the Establishment of a Neurocritical Care Unit in Saudi Arabia. Critical Care Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1130415
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1130415
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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