Functional outcome 6 months after severe traumatic brain injury following admission to intensive care unit: A follow-up study in two neuro-center hospitals

Study Background: Traumatic brain injury (TBI) is a major medical and socioeconomic problem and is the leading cause of death in the young adult. Patients with severe TBI shows physical and functional improvement but remain with cognitive and psycho-social problem throughout recovery. Despite all th...

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Main Authors: Abdul Rashid, Nor'ain, Mohamed Ludin, Salizar, Mat Nor, Mohd Basri, Awang, Mohamed Saufi
Format: Conference or Workshop Item
Language:English
Published: 2017
Subjects:
Online Access:http://irep.iium.edu.my/58016/
http://irep.iium.edu.my/58016/19/58016.pdf
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spelling iium-580162017-08-28T03:02:45Z http://irep.iium.edu.my/58016/ Functional outcome 6 months after severe traumatic brain injury following admission to intensive care unit: A follow-up study in two neuro-center hospitals Abdul Rashid, Nor'ain Mohamed Ludin, Salizar Mat Nor, Mohd Basri Awang, Mohamed Saufi RT Nursing Study Background: Traumatic brain injury (TBI) is a major medical and socioeconomic problem and is the leading cause of death in the young adult. Patients with severe TBI shows physical and functional improvement but remain with cognitive and psycho-social problem throughout recovery. Despite all these issues, the impact of TBI on long-term survivors in Malaysia is unknown. The aim of this study is to measure the functional level of ICU survivors’ with severe TBI within 6 months post injury Methods: A cohort study was employed for this study. 33 participants from Hospital Tengku Ampuan Afzan (HTAA) Kuantan, Pahang and Hospital Sultanah Nur Zahirah (HSNZ) Kuala Terengganu with severe TBI were included in this study. The functional assessment of Glasgow Outcome Scale Extended (GOSE) was measured on all samples within 6 months period. Results: The participants mean age was 31.79 ranging from 16 to 73 years old. The result of this study showed that within 3 months after discharge from the hospital, all the participants were still poorly recovered, n=33 (100.0%). Meanwhile, after 6 months being discharged from the hospital, 48.5% of the participants scored a good recovery score. In this case, the SOFA and SAPS II scores contributed significantly to the prediction (SOFA score p=0.045, SAPS II score p=0.028) of the functional outcome. Conclusion: The functional outcome of severe TBI was improved in six months post injury. The SOFA score and SAPS II score become significant markers for the functional outcome in this study. Nonetheless, there were some limitations related to this study, which is a small sample size and time constraint. From this study, the health care provider can use SOFA and SAPS II score as the predictors for the functional outcome, thus, an early care plan can be done if severe TBI patients have high SOFA or SAPS II scores. 2017 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/58016/19/58016.pdf Abdul Rashid, Nor'ain and Mohamed Ludin, Salizar and Mat Nor, Mohd Basri and Awang, Mohamed Saufi (2017) Functional outcome 6 months after severe traumatic brain injury following admission to intensive care unit: A follow-up study in two neuro-center hospitals. In: Medical Research Symposium (MRS 2017), 10th. August 2017, Kuantan, Pahang. (Unpublished)
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RT Nursing
spellingShingle RT Nursing
Abdul Rashid, Nor'ain
Mohamed Ludin, Salizar
Mat Nor, Mohd Basri
Awang, Mohamed Saufi
Functional outcome 6 months after severe traumatic brain injury following admission to intensive care unit: A follow-up study in two neuro-center hospitals
description Study Background: Traumatic brain injury (TBI) is a major medical and socioeconomic problem and is the leading cause of death in the young adult. Patients with severe TBI shows physical and functional improvement but remain with cognitive and psycho-social problem throughout recovery. Despite all these issues, the impact of TBI on long-term survivors in Malaysia is unknown. The aim of this study is to measure the functional level of ICU survivors’ with severe TBI within 6 months post injury Methods: A cohort study was employed for this study. 33 participants from Hospital Tengku Ampuan Afzan (HTAA) Kuantan, Pahang and Hospital Sultanah Nur Zahirah (HSNZ) Kuala Terengganu with severe TBI were included in this study. The functional assessment of Glasgow Outcome Scale Extended (GOSE) was measured on all samples within 6 months period. Results: The participants mean age was 31.79 ranging from 16 to 73 years old. The result of this study showed that within 3 months after discharge from the hospital, all the participants were still poorly recovered, n=33 (100.0%). Meanwhile, after 6 months being discharged from the hospital, 48.5% of the participants scored a good recovery score. In this case, the SOFA and SAPS II scores contributed significantly to the prediction (SOFA score p=0.045, SAPS II score p=0.028) of the functional outcome. Conclusion: The functional outcome of severe TBI was improved in six months post injury. The SOFA score and SAPS II score become significant markers for the functional outcome in this study. Nonetheless, there were some limitations related to this study, which is a small sample size and time constraint. From this study, the health care provider can use SOFA and SAPS II score as the predictors for the functional outcome, thus, an early care plan can be done if severe TBI patients have high SOFA or SAPS II scores.
format Conference or Workshop Item
author Abdul Rashid, Nor'ain
Mohamed Ludin, Salizar
Mat Nor, Mohd Basri
Awang, Mohamed Saufi
author_facet Abdul Rashid, Nor'ain
Mohamed Ludin, Salizar
Mat Nor, Mohd Basri
Awang, Mohamed Saufi
author_sort Abdul Rashid, Nor'ain
title Functional outcome 6 months after severe traumatic brain injury following admission to intensive care unit: A follow-up study in two neuro-center hospitals
title_short Functional outcome 6 months after severe traumatic brain injury following admission to intensive care unit: A follow-up study in two neuro-center hospitals
title_full Functional outcome 6 months after severe traumatic brain injury following admission to intensive care unit: A follow-up study in two neuro-center hospitals
title_fullStr Functional outcome 6 months after severe traumatic brain injury following admission to intensive care unit: A follow-up study in two neuro-center hospitals
title_full_unstemmed Functional outcome 6 months after severe traumatic brain injury following admission to intensive care unit: A follow-up study in two neuro-center hospitals
title_sort functional outcome 6 months after severe traumatic brain injury following admission to intensive care unit: a follow-up study in two neuro-center hospitals
publishDate 2017
url http://irep.iium.edu.my/58016/
http://irep.iium.edu.my/58016/19/58016.pdf
first_indexed 2023-09-18T21:22:01Z
last_indexed 2023-09-18T21:22:01Z
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