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Chulalongkorn Medical Journal

Abstract

Background: Traumatic brain injury (TBI) is a major cause of disability, morbidity, and mortality worldwide Objectives: This study aimed to determine the effect of the fast-track protocol on clinical outcome of traumatic brain injury (TBI) patients. Hospitals should consider implementing similar protocols to enhance care for TBI patients and decreasing preventable death and preventable disability.

Methods: This study evaluates the functional outcomes in surgical groups of traumatic brain injury (TBI) fast track, with Glasgow Coma Scale (GCS) scores between 9 and 12. Data were retrospectively collected from 52 TBI patients treated surgically at Sawanpracharak Hospital between September 1, 2016, and February 28, 2024, under the fast-track protocol, and compared with 52 patients who underwent routine surgical treatment (non-fast track). Risk factors, causes of accidents, clinical parameters, and outcomes were analyzed, including time from the emergency room (ER) to the operating room (OR), pneumonia, sepsis, pressure sores, tracheostomy, length of hospital stay (LOS), and Glasgow Outcome Scale (GOS).

Results:Statistically significant associations were observed between the fast-track and non-fast-track groups regarding time from ER to OR (p

Conclusion: The fast-track protocol demonstrated improved clinical outcomes, including reduced complication rates, shorter LOS, and better GOS outcomes. Timely surgical intervention within 60 minutes of ER admission is crucial for optimizing patient outcomes.

DOI

10.56808/2673-060X.5595

First Page

Functional outcome of the patients treated surgically for traumatic brain injury (TBI) fast tract (GCS 9-12) Nrongpong Lowprukmanee, M.D. Department of Surgery, Sawanpracharak Hospital, Nakhonsawan, Thailand Abstract Background: Traumatic brain injury (TBI) is a major cause of disability, morbidity, and mortality worldwide Objectives: This study aimed to determine the effect of the fast-track protocol on clinical outcome of traumatic brain injury (TBI) patients. Hospitals should consider implementing similar protocols to enhance care for TBI patients and decreasing preventable death and preventable disability. Methods: This study evaluates the functional outcomes in surgical groups of traumatic brain injury (TBI) fast track, with Glasgow Coma Scale (GCS) scores between 9 and 12. Data were retrospectively collected from 52 TBI patients treated surgically at Sawanpracharak Hospital between September 1, 2016, and February 28, 2024, under the fast-track protocol, and compared with 52 patients who underwent routine surgical treatment (non-fast track). Risk factors, causes of accidents, clinical parameters, and outcomes were analyzed, including time from the emergency room (ER) to the operating room (OR), pneumonia, sepsis, pressure sores, tracheostomy, length of hospital stay (LOS), and Glasgow Outcome Scale (GOS). Results: Statistically significant associations were observed between the fast-track and non-fast-track groups regarding time from ER to OR (p<0.001), pneumonia (p<0.001), sepsis (p=0.027), pressure sores (p=0.016), tracheostomy (p=0.028), LOS (p<0.001), and GOS (p<0.001). Conclusion: The fast-track protocol demonstrated improved clinical outcomes, including reduced complication rates, shorter LOS, and better GOS outcomes. Timely surgical intervention within 60 minutes of ER admission is crucial for optimizing patient outcomes. Keywords: Traumatic brain injury (TBI), Glasgow coma scale, Glasgow outcome scale Traumatic brain injury (TBI) is a major cause of disability, morbidity, and mortality worldwide, particularly in children and young adults, with young males being disproportionately affected(1-4). Approximately 70% of TBI

Last Page

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