|
KMID : 1120220240150010003
|
|
Osong Public Health and Research Perspectives
2024 Volume.15 No. 1 p.3 ~ p.17
|
|
|
Predictors of outcomes 3 to 12 months after traumatic brain injury: a systematic review and meta-analysis
|
|
Younes Iderdar
Maryem Arraji
Nadia Al Wachami
Morad Guennouni
Karima Boumendil
Yassmine Mourajid
Noureddine Elkhoudri
Elmadani Saad
Mohamed Chahboune
|
|
|
Abstract
|
|
|
|
The exact factors predicting outcomes following traumatic brain injury (TBI) remain elusive. In this systematic review and meta-analysis, we examined factors influencing outcomes in adult patients with TBI, from 3 months to 1 year after injury. A search of four electronic databases?PubMed, Scopus, Web of Science, and ScienceDirect?yielded 29 studies for review and 16 for meta-analysis, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. In patients with TBI of any severity, mean differences were observed in age (8.72 years; 95% confidence interval [CI], 4.77?12.66 years), lymphocyte count (?0.15 109/L; 95% CI, ?0.18 to ?0.11), glucose levels (1.20 mmol/L; 95% CI, 0.73?1.68), and haemoglobin levels (?0.91 g/dL; 95% CI, ?1.49 to ?0.33) between those with favourable and unfavourable outcomes. The prevalence rates of unfavourable outcomes were as follows: abnormal cisterns, 65.7%; intracranial pressure above 20 mmHg, 52.9%; midline shift of 5 mm or more, 63%; hypotension, 71%; hypoxia, 86.8%; blood transfusion, 70.3%; and mechanical ventilation, 90%. Several predictors were strongly associated with outcome. Specifically, age, lymphocyte count, glucose level, haemoglobin level, severity of TBI, pupillary reaction, and type of injury were identified as potential predictors of long-term outcomes.
|
|
|
KEYWORD
|
|
|
Brain injuries, traumatic, Meta-analysis, Patient outcome assessment, Systematic review
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|