Category: Brain Injury; Brain Injury; Brain Injury
Objective : Our aim was assess disability and years lost due to premature death or disability in the first year after hospitalization for severe TBI
Design : All patients (n = 266) with severe TBI (Glasgow coma scale, ECG ≤ 8) were admitted to the intensive care units of three reference hospitals for TBI of the SUS network in the state of Santa Catarina, located in the metropolitan regions of Criciúma and Florianópolis, from April 2014 to January 2016 (22 months).
Setting : All patients with severe TBI admitted to the intensive care units of three reference hospitals for brain trauma in the public health network of the state of Santa Catarina from April 2014 to January 2016 (22 months) were included in this study. The Governor Celso Ramos Hospital (HGCR) in the city of Florianópolis and the Hospital Homero de Miranda Gomes (HHMG) in the city of São José are the references for the metropolitan area of Florianópolis. The third center, Hospital de São José (HSJ), in the city of Criciúma.
Participants (or Animals, Specimens, Cadavers) : The inclusion criterion was an ECG score ≤ 8 at the time of admission to the ICU. Patients who progressed to brain death before the first 24 hours of hospitalization were excluded.
Interventions : Not applicable
Main Outcome Measure(s) : The number of years of life lost due to premature death (YLLs) was estimated each year in the two metropolitan areas. We also estimate the number of years of life lost due to health problems, disability or premature death (DALYs) after hospital discharge in patients living in municipalities in the metropolitan region of Florianópolis (n = 154).
Results : The majority of the patients were males (86.5%), with a mean age of 38 years. The years lost in the two metropolitan regions are 116.6 YLLs per 100,000 inhabitants. Only 22.1% of patients hospitalized for severe TBI achieved a near complete or complete recovery in the first year after hospital discharge. In 22 months, there were 4670 DALYs in the metropolitan area of Florianópolis, corresponding to 270 DALYs per 100,000 inhabitants each year.
Conclusions : The majority of the patients were males (86.5%), with a mean age of Only 22% hospitalized for severe TBI in the metropolitan area of Florianópolis present a satisfactory recovery.
Fernando Arêas
– Professor, Federal University of Espírito Santo, Vitória, Espirito SantoMariana Batista Ribeiro
– Nurse, University of Amazonas, Vitória, Espirito SantoRoger Walz
– Professor, Federal University of Santa Catarina, florianopolis, Santa Catarina174 Views