ผลการประเมินความเสี่ยงต่อการเสียชีวิตและผลลัพธ์ของผู้ป่วยบาดเจ็บสมองในหอผู้ป่วยหนักศัลยกรรมและอุบัติเหตุโรงพยาบาลนพรัตนราชธานี

Abstract

Abstract: At present development of technologies in medical care and the research of neurology are being improvedfor early diagnose in TBI patients. In the same time the model of care in TBI patient is improved and provided theirresults  for increased survival. It appears that increase length of stay result in high costs of treatment. Many ICUsare  already overcrowded. This phenominal impact on how decision making and management of care in ICUs. Thepurpose  of this study was to assess severity risk of death including and describe TBI patient outcome. Cross-sectional study was conducted with pedestal clinical epidemiology. There were 66 traumatic brain injury patients whoadmitted  in surgery and trauma intensive care unit at Nopparat Rajathanee Hospital during January 2006 to March2008. The results revealed that the sample of 66 TBI patients consisted 56 male and 10 female patients with 58 patientsage between 15-50 years. The severities of TBI  patients were classified by using Glasgow Coma Scale whichfound that 39 TBI patients were severe.The APACHE II was used to assess the risk of death.The study foundthat TBI  patients who had APACHE II score 5-15 points whose risk of death were 8.6% and   ompared with GlasgowOutcome Scale which found that 6.06 % of TBI patients were death. TBI patients who had  APACHE II score 26-30 points their risk of death were 56.4% and compared with Glasgow Outcome Scale which found  that 57.1% of TBI patients were death. BI patients who had APACHE II score more than 19 points when compared  with GlasgowOutcome  Scale which found that no patients were good recovery. From this study it is recommended that theAPACHE  II should be used in routine practice for periodic or daily assessment.