background traumatic brain injury (tbi) is an important public health problem throughout the world. objective this study assesses repeated glasgow coma scale (gcs) scores to predict the severity of tbi and survival of the patients. materials and methods a sample of 239 patients who were hospitalized with traumatic brain injury was selected by random sampling from icu wards at shahid beheshti ho...

background cerebral state index (csi) is derived from electroencephalogram (eeg) and is used for monitoring the level of consciousness during anesthesia. this study was designed to investigate the accuracy of glasgow coma scale (gcs) and csi as a predictor of in-hospital mortality in patients with trauma brain injury (tbi). objective to compare the predictive value of gcs and csi for predicting...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 background : traumatic brain injury (tbi) is known as one of the most important causes of mortality in middle-aged population. the aim of this study was to evaluate the effects of gabapentin in improvement of consciousness level in these patients. methods : this randomized clinical trial was performed in march 2008 to sept...

prediction of the outcome and severity of acute upper gastrointestinal bleeding (ugib) has significant importance in patient care, disposition, and determining the need for emergent endoscopy. recent international recommendations endorse using scoring systems for management of non-variceal ugib patients. to date, different scoring systems have been developed for predicting the risk of 30-day mo...

the sex hormone progesterone has been shown to improve outcomes in animal models and two early-phase trials involving patients with traumatic brain injury (tbi). the aim of this clinical study was to assess the effect of progesterone on the improvement of neurologic outcome in patients with diffuse and acute tbi. a prospective, randomized, double-blind trial of progesterone was conducted in our...

BACKGROUND Traumatic brain injury is a major public health problem due to high mortality and morbidity among survivors. METHODS We performed a retrospective cohort study of patients with severe traumatic brain injury. We recorded the attending physician's evaluation of the patient's consciousness, the patient's demographics, routine physical measurements, and medical interventions. We used Gl...

OBJECTIVE In bacterial meningitis, a decreased level of consciousness is predictive for unfavorable outcome, but the clinical features and outcome in patients presenting with a minimal score on the Glasgow Coma Scale are unknown. METHODS We assessed the incidence, clinical characteristics, and outcome of patients with bacterial meningitis presenting with a minimal score on the Glasgow Coma Sc...

BACKGROUND Geriatric trauma patients have a worse outcome than the young with comparable injuries. The contribution of traumatic brain injury (TBI) to this increased mortality is unknown and has been confounded by the presence of other injuries. The purpose of this study was to investigate the role of age in the mortality and early outcome from isolated TBI. METHODS This was a retrospective a...

Disease-related malnutrition of neurocritical illness harms its treatment, which increases the mortality rate. The aim of this study was evaluating the effect of a high protein diet on the dietary factors, clinical outcome, and mortality rate of neurocritical patients. In a randomized controlled trial, 15 neurocritical patients were recruited in each group. Patients in the intervention and cont...