Determinants of Outcome in Severe Traumatic Brain Injury Managed in Surgical ICU

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Determinants of Outcome in Severe Traumatic Brain Injury Managed in Surgical ICU

1Belkhou Youssef, 2Benzakour Maria, 3Chabbar Sara, 4Zerhouni Amine, 5Fz Faouji, 6Mounir Anas, 7Bouhouri Aziz
ABSTRACT

Introduction: Severe traumatic brain injury (sTBI) causes major mortality, mostly after road traffic accidents.
Methods: Retrospective review of 102 sTBI patients admitted to a surgical ICU.
Results: Young males predominated. CT showed mainly contusions and hemorrhages. Mortality was 33%, associated with low GCS, bilateral mydriasis, and severe lesions.
Discussion: Prognosis depends on early recognition of key clinical and radiological severity factors.
Conclusion: Rapid multidisciplinary care and prevention of road accidents are essential.


KEYWORDS

severe traumatic brain injury / glascow coma scale / intracranial hypertension / pupillary reactivity


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