Background
and Objective: Although intracranial
pressure (ICP) monitoring is considered as the standard care for traumatic
brain injuries, it is not routinely used in Iran. Hence, the purpose of this
study is to reveal the primary results of the applying ICP monitoring in
patients with traumatic head injuries in Bahonar Hospital in Kerman.
Materials
and Methods:The
present study is a cross-sectional one in which all the patients with
traumatic brain injuries referred to this given center and received the ICP monitoring
were evaluated. We examined the clinical and imaging findings at admission
as well as mortality and the complications related to
the ICP catheter. The outcome was assessed according to the Glascow
Outcome Scale (GOS) at six months after occuring
trauma.The data were analyzed using t-test for quantitative variables and Chi-square
test for categorical ones.
Results: Eighteen patients with
traumatic brain injury were undergone ICP monitoring during this time. Eight
operations were performed on 6 patients based on their ICP. All the three
patients with refractory high ICP died during hospital admission. Higher
primary GCS and reactive pupil, were related to the better GOS scores six
months after trauma.
Conclusion: It
seems that ICP monitoring is a safe and effective treatment modality in
patients with traumatic brain injury. However, it is necessary to conduct more studies with a large
sample size and control group.
Key
words: Intracranial pressure, Outcome, Traumatic head injury
Funding: This research was funded by Neuroscience Research
Center, Institute of Neuropharmacology, Kerman University of Medical Sciences.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Neuroscience Research Center
approved the study.
How to cite this article: Ebrahiminejad A, Karamouzian S, Keykhosravi E. Intracranial Pressure Monitoring in
Patients with Traumatic Head Injuries in Kerman Bahonar Hospital: A Short
Report. J RafsanjanUniv Med Sci 2015 14(1):
69-76. [Farsi]
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