Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres

Abubakar Sadiq Adamu; Abubakar Alhaji Bakari; Usman Mohammed Tela; Babayo Deba Usman; Yusuf Bukar Ngamdu; Sambo Tanimu Yusuf

doi:doi:10.11648/j.ja.20140202.12

Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres

Abubakar Sadiq Adamu, Abubakar Alhaji Bakari, Usman Mohammed Tela, Babayo Deba Usman, Yusuf Bukar Ngamdu, Sambo Tanimu Yusuf

Published in Journal of Anesthesiology (Volume 2, Issue 2)

Received: 27 April 2014 Accepted: 15 May 2014 Published: 30 May 2014

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background: The admissions and outcomes of intensive care management of severe head injured patients depend not only on the standard and effectiveness of the treatment obtained but also on the available technical and human resources. We aimed at auditing the admissions and indeed the outcomes of severe head injured patients admitted in our non-neurosurogical centres. Patients and Methods: This was a retrospective review of the demographic, clinical with neurological data and outcomes of the management of all severely head injured patients admitted to the Intensive Care Units (ICU) of the Federal Teaching Hospital, Gombe and University of Maiduguri Teaching Hospital, Nigeria, for three year duration from January, 2007- December, 2009. Results: The total of 258 cases were retrieved and analyzed within the period under review. Two hundred and thirty one (n=231, 89.53%) were males and twenty seven (n=27, 10.47%) were females. The ages ranges between 1-70 years old with the mean ages of 31.29 (SD=15.66). The length of stay (LOS) from admission to discharge ranged from 1-29 days with the mean of 5.80 days (SD= 6.06) while, the LOS from admission to death ranged from 1-24 days with the mean of 3.62days (SD=4.14). Majority (91.8%) of the causes of the head injury were due to RTA with the mortality rates of 27.9%. Conclusions: A well equipped ICU would greatly facilitate the care of the severely head injured patients and can be an achievable goal in developing countries, if there is rational allocation of resources despite the prevailing challenges. We therefore, recommend the establishment of ICU in general and to encourage physicians to develop interest in the management of severely head injured patients even in a non-neurosurgical ICU.

Published in	Journal of Anesthesiology (Volume 2, Issue 2)
DOI	10.11648/j.ja.20140202.12
Page(s)	18-21
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Admissions, Outcomes, Severe Head Injury, Management, Non-Surgical ICU

References

[1]	Bullock R, Chestnut RM, Clifton G, Ghajar J, Marion DW, et al: Guideline for the management of severe head injury. J Neurotrauma 1996, 13(1): 643-734.
[2]	Bullock R, Chestnut RM, Clifton G, Ghajar J, Marion DW, et al: Guidelines for the management of Severe Traumatic Injury. J Neurotrauma 2000, 17: 453-553.
[3]	Bullock R.: Guidelines for the management of severe Traumatic Brain injury. J Neurotrauma, 2007, 1: S1-106.
[4]	Vukic M, Negovetic L, Kovac D, Ghajar J, Glavic Z: The effect of implementation of guidelines for the management of severe head injury on patient treatment and outcomes. Acta Neurochir (Wien) 1996, 141(11): 203-8.
[5]	Hesdorffer D, Ghajar J, Lacono L: Predictors of compliance with the evidence-based guidelines for traumatic brain injury care: A survey of United States Trauma centers. J Trauma 2002, 52: 1202-1209.
[6]	Chestnut RM: Secondary brain insults after head injury: clinical perspectives. New Horiz 1995, 3: 366-75.
[7]	Unterberg AW, Stover IF, Kress B, Kiening KI: Edema and brain trauma. Neuroscience 2004, 129: 1021-9.
[8]	Saul TG, Ducker TB: Intracranial pressure monitoring in patients with severe head injury. AM Surg 1982, 48(9): 477-480.
[9]	Young M, Birkmeyer JD. Potential reduction in mortality rates using an intensivist model to manage intensive care units. Eff Clin Pract 2000; 3: 284-289.
[10]	Girling K. Management of head injury in the intensive care unit. Continuing Education in Anaesthesia, Critical Care and Pain. 2004; 4: 52-56.
[11]	Marik P, Varon J, Trash T. Management of head trauma. Chest 2002; 122: 699-711.
[12]	Adamu AS, Ojo E, El-Nafaty A, Edomwonyi N: An Audit of one-year Intensive Care practice in a developing country. The internet Journal of Anesthesiology. 2008 volume 18(2): DOI: 5580/25b2.
[13]	The Brain Trauma Foundation. The American Association of Neurological Surgeons. The joint Section on Neurotrauma and Critical Care; Indications for intracranial pressure monitoring. J Neurotrauma 2000; 17: 479-491.
[14]	Maas AIR, Dearden M, Teasdale GM, Braakman R, Cohadon F, et al : European Brain Injury Consortium: EBIC-Guidelines for management of severe head injury in adults. Acta Neurochir 1997; 139: 286-294.
[15]	Cremer OL, van Dijk GW, van Wenser E, Brekelmans GJ, Moons KG et al. Effects of intracranial pressure monitoring and targeted intensive care on functional outcomes after severe head injury. Crit Care Med 2005; 33: 2207-2213.
[16]	Shehu BB. Practical management of head injury. Annals of African Medicine 2002; 1(1): 8-17.
[17]	LIN SC. Managing change in critical medicine. Int J Intensive Care 2001; 8: 193-228.

Cite This Article

Plain Text BibTeX RIS

APA Style

Abubakar Sadiq Adamu, Abubakar Alhaji Bakari, Usman Mohammed Tela, Babayo Deba Usman, Yusuf Bukar Ngamdu, et al. (2014). Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres. International Journal of Anesthesia and Clinical Medicine, 2(2), 18-21. https://doi.org/10.11648/j.ja.20140202.12

Copy | Download

ACS Style

Abubakar Sadiq Adamu; Abubakar Alhaji Bakari; Usman Mohammed Tela; Babayo Deba Usman; Yusuf Bukar Ngamdu, et al. Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres. Int. J. Anesth. Clin. Med. 2014, 2(2), 18-21. doi: 10.11648/j.ja.20140202.12

Copy | Download

AMA Style

Abubakar Sadiq Adamu, Abubakar Alhaji Bakari, Usman Mohammed Tela, Babayo Deba Usman, Yusuf Bukar Ngamdu, et al. Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres. Int J Anesth Clin Med. 2014;2(2):18-21. doi: 10.11648/j.ja.20140202.12

Copy | Download

@article{10.11648/j.ja.20140202.12,
  author = {Abubakar Sadiq Adamu and Abubakar Alhaji Bakari and Usman Mohammed Tela and Babayo Deba Usman and Yusuf Bukar Ngamdu and Sambo Tanimu Yusuf},
  title = {Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {2},
  number = {2},
  pages = {18-21},
  doi = {10.11648/j.ja.20140202.12},
  url = {https://doi.org/10.11648/j.ja.20140202.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20140202.12},
  abstract = {Background: The admissions and outcomes of intensive care management of severe head injured patients depend not only on the standard and effectiveness of the treatment obtained but also on the available technical and human resources. We aimed at auditing the admissions and indeed the outcomes of severe head injured patients admitted in our non-neurosurogical centres. Patients and Methods: This was a retrospective review of the demographic, clinical with neurological data and outcomes of the management of all severely head injured patients admitted to the Intensive Care Units (ICU) of the Federal Teaching Hospital, Gombe and University of Maiduguri Teaching Hospital, Nigeria, for three year duration from January, 2007- December, 2009. Results: The total of 258 cases were retrieved and analyzed within the period under review. Two hundred and thirty one (n=231, 89.53%) were males and twenty seven (n=27, 10.47%) were females. The ages ranges between 1-70 years old with the mean ages of 31.29 (SD=15.66). The length of stay (LOS) from admission to discharge ranged from 1-29 days with the mean of 5.80 days (SD= 6.06) while, the LOS from admission to death ranged from 1-24 days with the mean of 3.62days (SD=4.14). Majority (91.8%) of the causes of the head injury were due to RTA with the mortality rates of 27.9%. Conclusions: A well equipped ICU would greatly facilitate the care of the severely head injured patients and can be an achievable goal in developing countries, if there is rational allocation of resources despite the prevailing challenges. We therefore, recommend the establishment of ICU in general and to encourage physicians to develop interest in the management of severely head injured patients even in a non-neurosurgical ICU.},
 year = {2014}
}

Copy | Download

TY  - JOUR
T1  - Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres
AU  - Abubakar Sadiq Adamu
AU  - Abubakar Alhaji Bakari
AU  - Usman Mohammed Tela
AU  - Babayo Deba Usman
AU  - Yusuf Bukar Ngamdu
AU  - Sambo Tanimu Yusuf
Y1  - 2014/05/30
PY  - 2014
N1  - https://doi.org/10.11648/j.ja.20140202.12
DO  - 10.11648/j.ja.20140202.12
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 18
EP  - 21
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ja.20140202.12
AB  - Background: The admissions and outcomes of intensive care management of severe head injured patients depend not only on the standard and effectiveness of the treatment obtained but also on the available technical and human resources. We aimed at auditing the admissions and indeed the outcomes of severe head injured patients admitted in our non-neurosurogical centres. Patients and Methods: This was a retrospective review of the demographic, clinical with neurological data and outcomes of the management of all severely head injured patients admitted to the Intensive Care Units (ICU) of the Federal Teaching Hospital, Gombe and University of Maiduguri Teaching Hospital, Nigeria, for three year duration from January, 2007- December, 2009. Results: The total of 258 cases were retrieved and analyzed within the period under review. Two hundred and thirty one (n=231, 89.53%) were males and twenty seven (n=27, 10.47%) were females. The ages ranges between 1-70 years old with the mean ages of 31.29 (SD=15.66). The length of stay (LOS) from admission to discharge ranged from 1-29 days with the mean of 5.80 days (SD= 6.06) while, the LOS from admission to death ranged from 1-24 days with the mean of 3.62days (SD=4.14). Majority (91.8%) of the causes of the head injury were due to RTA with the mortality rates of 27.9%. Conclusions: A well equipped ICU would greatly facilitate the care of the severely head injured patients and can be an achievable goal in developing countries, if there is rational allocation of resources despite the prevailing challenges. We therefore, recommend the establishment of ICU in general and to encourage physicians to develop interest in the management of severely head injured patients even in a non-neurosurgical ICU.
VL  - 2
IS  - 2
ER  -

Copy | Download

Author Information

Abubakar Sadiq Adamu

Department of Anaesthesia and Intensive Care, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
Abubakar Alhaji Bakari

Department of Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
Usman Mohammed Tela

Department of Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
Babayo Deba Usman

Department of Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
Yusuf Bukar Ngamdu

Department of Ear, Nose and Throat (ENT), University of Maiduguri Teaching Hospital, Maiduguri, Borno state, Nigeria
Sambo Tanimu Yusuf

Department of Anaesthesia, Federal Teaching Hospital, Gombe, Gombe state, Nigeria

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Abubakar Sadiq Adamu, Abubakar Alhaji Bakari, Usman Mohammed Tela, Babayo Deba Usman, Yusuf Bukar Ngamdu, et al. (2014). Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres. International Journal of Anesthesia and Clinical Medicine, 2(2), 18-21. https://doi.org/10.11648/j.ja.20140202.12

Copy | Download

ACS Style

Abubakar Sadiq Adamu; Abubakar Alhaji Bakari; Usman Mohammed Tela; Babayo Deba Usman; Yusuf Bukar Ngamdu, et al. Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres. Int. J. Anesth. Clin. Med. 2014, 2(2), 18-21. doi: 10.11648/j.ja.20140202.12

Copy | Download

AMA Style

Abubakar Sadiq Adamu, Abubakar Alhaji Bakari, Usman Mohammed Tela, Babayo Deba Usman, Yusuf Bukar Ngamdu, et al. Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres. Int J Anesth Clin Med. 2014;2(2):18-21. doi: 10.11648/j.ja.20140202.12

Copy | Download

@article{10.11648/j.ja.20140202.12,
  author = {Abubakar Sadiq Adamu and Abubakar Alhaji Bakari and Usman Mohammed Tela and Babayo Deba Usman and Yusuf Bukar Ngamdu and Sambo Tanimu Yusuf},
  title = {Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {2},
  number = {2},
  pages = {18-21},
  doi = {10.11648/j.ja.20140202.12},
  url = {https://doi.org/10.11648/j.ja.20140202.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20140202.12},
  abstract = {Background: The admissions and outcomes of intensive care management of severe head injured patients depend not only on the standard and effectiveness of the treatment obtained but also on the available technical and human resources. We aimed at auditing the admissions and indeed the outcomes of severe head injured patients admitted in our non-neurosurogical centres. Patients and Methods: This was a retrospective review of the demographic, clinical with neurological data and outcomes of the management of all severely head injured patients admitted to the Intensive Care Units (ICU) of the Federal Teaching Hospital, Gombe and University of Maiduguri Teaching Hospital, Nigeria, for three year duration from January, 2007- December, 2009. Results: The total of 258 cases were retrieved and analyzed within the period under review. Two hundred and thirty one (n=231, 89.53%) were males and twenty seven (n=27, 10.47%) were females. The ages ranges between 1-70 years old with the mean ages of 31.29 (SD=15.66). The length of stay (LOS) from admission to discharge ranged from 1-29 days with the mean of 5.80 days (SD= 6.06) while, the LOS from admission to death ranged from 1-24 days with the mean of 3.62days (SD=4.14). Majority (91.8%) of the causes of the head injury were due to RTA with the mortality rates of 27.9%. Conclusions: A well equipped ICU would greatly facilitate the care of the severely head injured patients and can be an achievable goal in developing countries, if there is rational allocation of resources despite the prevailing challenges. We therefore, recommend the establishment of ICU in general and to encourage physicians to develop interest in the management of severely head injured patients even in a non-neurosurgical ICU.},
 year = {2014}
}

Copy | Download

TY  - JOUR
T1  - Admissions and Outcomes of Intensive Care Management of Severe Head Injured Patients in Non-Neurosurgical Centres
AU  - Abubakar Sadiq Adamu
AU  - Abubakar Alhaji Bakari
AU  - Usman Mohammed Tela
AU  - Babayo Deba Usman
AU  - Yusuf Bukar Ngamdu
AU  - Sambo Tanimu Yusuf
Y1  - 2014/05/30
PY  - 2014
N1  - https://doi.org/10.11648/j.ja.20140202.12
DO  - 10.11648/j.ja.20140202.12
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 18
EP  - 21
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ja.20140202.12
AB  - Background: The admissions and outcomes of intensive care management of severe head injured patients depend not only on the standard and effectiveness of the treatment obtained but also on the available technical and human resources. We aimed at auditing the admissions and indeed the outcomes of severe head injured patients admitted in our non-neurosurogical centres. Patients and Methods: This was a retrospective review of the demographic, clinical with neurological data and outcomes of the management of all severely head injured patients admitted to the Intensive Care Units (ICU) of the Federal Teaching Hospital, Gombe and University of Maiduguri Teaching Hospital, Nigeria, for three year duration from January, 2007- December, 2009. Results: The total of 258 cases were retrieved and analyzed within the period under review. Two hundred and thirty one (n=231, 89.53%) were males and twenty seven (n=27, 10.47%) were females. The ages ranges between 1-70 years old with the mean ages of 31.29 (SD=15.66). The length of stay (LOS) from admission to discharge ranged from 1-29 days with the mean of 5.80 days (SD= 6.06) while, the LOS from admission to death ranged from 1-24 days with the mean of 3.62days (SD=4.14). Majority (91.8%) of the causes of the head injury were due to RTA with the mortality rates of 27.9%. Conclusions: A well equipped ICU would greatly facilitate the care of the severely head injured patients and can be an achievable goal in developing countries, if there is rational allocation of resources despite the prevailing challenges. We therefore, recommend the establishment of ICU in general and to encourage physicians to develop interest in the management of severely head injured patients even in a non-neurosurgical ICU.
VL  - 2
IS  - 2
ER  -

Copy | Download