چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده ثبت کننده مقاله | ندا گیلانی |
| مرحله جاری مقاله | تایید نهایی |
| دانشکده/مرکز مربوطه | دانشکده بهداشت |
| کد مقاله | 60428 |
| عنوان فارسی مقاله | Predicting Outcomes in Traumatic Brain Injury Using the Glasgow Coma Scale: A Joint Modeling of Longitudinal Measurements and Time to Event |
| عنوان لاتین مقاله | Predicting Outcomes in Traumatic Brain Injury Using the Glasgow Coma Scale: A Joint Modeling of Longitudinal Measurements and Time to Event |
| ناشر | 5 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ | خیر |
| عنوان نشریه (خارج از لیست فوق) | |
| نوع مقاله | Original Article |
| نحوه ایندکس شدن مقاله | ایندکس شده سطح یک – ISI - Web of Science |
| آدرس لینک مقاله/ همایش در شبکه اینترنت | http://ircmj.com/?page=article&article_id=29663 |
| Background: Traumatic brain injury (TBI) is an important public health problem throughout the world. Objectives: The aim of this study was to assess repeated glasgow coma scale (GCS) scores in predicting the severity of TBI and patients’ survival. Patients and Methods: In this longitudinal study used a total sample of 239 patients, all of whom were hospitalized with traumatic brain injuries. Subjects were selected by simple random sampling in intensive care unit (ICU) wards of the Shahid Beheshti hospital in Kashan, Iran between September 2008 and September 2010. The patients’ level of consciousness was evaluated using GCS at admission, six hours after admission to the ICU, and at the time of discharge from the hospital. A Glasgow outcome score (GOS) is used to classify the global outcomes in TBI survivors. A joint modeling approach was utilized for data analysis using R software. Results: The results showed that female patients had the risk of occurrence, slightly more than men, but this was not significant (HR =1.095 P = 0.757). The mortality risk was significantly higher in older patients (HR = 1.010, P = 0.010). In addition, the results indicated a significant increasing linear trend in GCS values over time (HR=1.78, P=0.003). Higher age was also associated with lower GCS values over time (P < 0.001). The severity of TBI decreases with increasing GCS values (P < 0.001). Conclusions: By jointly modeling longitudinal data with time-to-event outcomes, our findings supported the use of the GCS scores in predicting the severity of TBI. |
| نویسنده | نفر چندم مقاله |
|---|---|
| ندا گیلانی | اول |
| محمد اصغری جعفرآبادی | چهارم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| Index IF=0.676.pdf | 1396/01/15 | 433556 | دانلود |
| ircmj-19-02-29663.pdf | 1396/01/15 | 342425 | دانلود |
