Decompressive craniectomy for severe traumatic brain injury : functional outcome at 3 months and 6 months /
Head injury was the commonest diagnosis leading to intensive care unit (ICU) admission in 2008 and it contributed high disease burden which later may lead to socioeconomic problem. Purpose of this study is to determine the functional outcome of decompressive craniectomy (DC) for severe traumatic bra...
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| Main Author: | |
|---|---|
| Format: | Thesis |
| Language: | English |
| Published: |
Kuantan, Pahang :
Kulliyyah of Medicine, International Islamic University Malaysia,
2021
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| Subjects: | |
| Online Access: | http://studentrepo.iium.edu.my/handle/123456789/10774 |
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| LEADER | 033870000a22004210004500 | ||
|---|---|---|---|
| 008 | 210629s2021 my a f m 000 0 eng d | ||
| 040 | |a UIAM |b eng |e rda | ||
| 041 | |a eng | ||
| 043 | |a a-my-- | ||
| 050 | 0 | 0 | |a RC387.5 |
| 100 | 0 | |a Nurullisa Rashid, |e author | |
| 245 | 1 | 0 | |a Decompressive craniectomy for severe traumatic brain injury : |b functional outcome at 3 months and 6 months / |c by Nurullisa bt Rashid |
| 264 | 1 | |a Kuantan, Pahang : |b Kulliyyah of Medicine, International Islamic University Malaysia, |c 2021 | |
| 300 | |a xi, 54 leaves : |b colour illustrations ; |c 30cm. | ||
| 336 | |2 rdacontent |a text | ||
| 337 | |2 rdamedia |a unmediated | ||
| 337 | |2 rdmedia |a computer | ||
| 338 | |2 rdacarrier |a volume | ||
| 338 | |2 rdacarrier |a online resource | ||
| 347 | |2 rdaft |a text file |b PDF | ||
| 500 | |a Abstracts in English. | ||
| 500 | |a "A dissertation submitted in fulfilment of the requirement for the degree of Master of Sugery (General Surgery)." --On title page. | ||
| 502 | |a Thesis (MOS)--International Islamic University Malaysia, 2021. | ||
| 504 | |a Includes bibliographical references (leaves 34-36). | ||
| 520 | |a Head injury was the commonest diagnosis leading to intensive care unit (ICU) admission in 2008 and it contributed high disease burden which later may lead to socioeconomic problem. Purpose of this study is to determine the functional outcome of decompressive craniectomy (DC) for severe traumatic brain injury patients in HTAA and the associative factors in the poor functional outcome of severe TBI patients who had undergone DC at 3 months and 6 month. From 2017 through 2018, we recruited 54 patients in our local center, 16 to 65 years of age with severe traumatic brain injury that has to undergo decompressive craniectomy. The primary outcome was the rating on the Extended Glasgow Outcome Scale (GOS-E) (an 8-point scale, ranging from death to “upper good recovery” (no injury-related problems) at 3 months and 6 months. We used Pearson chi-square or Fisher Exact test to identify the associations between the study variables and the functional outcome for univariate analysis. This study is ethically approved by National Malaysia Research Committee. The proportional odds assumption was rejected, and therefore results are reported descriptively. Good functional outcome at 3 month among severe TBI patients noted for patients with Marshall score less than 4 and at poor functional outcome noted at 6 months for smoker and GCS than 5 upon presentation. Patient selection and patient resuscitation with Multidiciplinary Team (MDT) involvement may be expected to further improve the outcome following the procedure in severely brain-injured patients. | ||
| 596 | |a 6 | ||
| 610 | |a Hospital Tengku Ampuan Afzan | ||
| 650 | 0 | |a Brain damage |z Malaysia | |
| 650 | 0 | |a Head |x Wounds and injuries | |
| 655 | 7 | |a Theses, IIUM local | |
| 690 | |a Dissertations, Academic |x Department of Surgery |z IIUM | ||
| 700 | 0 | |a Mohamed Saufi Awang, |e degree supervisor | |
| 700 | 0 | |a Mohd Aidil Mohd Nor, |e degree supervisor | |
| 710 | 2 | |a International Islamic University Malaysia. |b Department of Surgery | |
| 856 | 4 | |u http://studentrepo.iium.edu.my/handle/123456789/10774 | |
| 900 | |a sz-asbh | ||
| 999 | |c 441546 |d 472096 | ||
| 952 | |0 0 |1 0 |6 T RC 000387.5 N97D 2021 |7 5 |9 762864 |a KIMC |b KIMC |d 2022-08-22 |g 0.00 |o t RC 387.5 N97D 2021 |p 11100393350 |r 2022-08-22 |t 1 |v 0.00 |y THESIS | ||