Effect of improving prehospital hypotension and hypoxemia on the prognosis of patients with traumatic brain injury

• 作者: Liang Liang Liwei Wu Yaowen Hu Xin Li Haiqing Dong Xiaofeng Sun
• 来源期刊: 转化神经科学电子杂志（英文）
• 年，卷（期）: 2020,（2）
• 所属期刊栏目: Research Article
• 页码范围: 34-39
• 页数: 6页
• 语种: 英文
• DOI: 10.3868/j.issn.2096-0689.2020.02.004

摘要

Objective: to investigate the effect of&nbsp;improving prehospital hypotension and hypoxemia on the prognosis of different subgroups of patients with traumat-ic brain injury (TBI). Methods: medical staff were trained about the prehospital first aid for 2 months to fully master the methods of improving prehospital hypotension and hypoxemia, then the prognosis of TBI patients pre- and post-training for 12 months was collected and recorded. The prognostic differences of different TBI subgroups were discussed through data analysis. Results: after the training, the proportion of prehospital hypotension and hypoxemia in TBI patients decreased by 77％ (8.5％ vs. 1.9％) and 63％ (9.9％ vs. 3.6％, P < 0.05), respectively. However, only the prognosis of moderate and severe TBI patients was improved, the proportion of patients with "good prognosis" increased by 14％ (61.4％ vs. 70.5％, respectively) and 62％ (35.6％ vs. 58％), and no signifi-cant effect showed in mild and critical TBI patients. Con-clusion: reducing the incidence of prehospital hypoxemia and hypotension can improve the prognosis of moderate and severe TBI patients, while no significant effect on mild and critical TBI patients.