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The influence of burdened comorbid status on treatment outcomes of injured elderly patients with severe traumatic brain injury

https://doi.org/10.24884/0042-4625-2019-178-1-30-33

Abstract

The objective was to research the effect of burdened comorbid status on the course of severe traumatic brain injury (TBI) in the elderly.

Material and methods. 243 injured elderly patients (182 men and 61 women) with severe TBI and burdened comorbid status.

Results. It was found that the postoperative period was characterized by more severe course of injury associated with the development of infectious and inflammatory complications.

Conclusion. Early medical rehabilitation does not have a significant impact on the state of comorbid status, but is important in the prevention of infectious and inflammatory complications due to the early activation of the victims and the elimination of hypodynamia in intensive care and neurosurgical departments.

About the Authors

Ju. A. Shcherbuk
Saint-Petersburg State University
Russian Federation
Corresponding author: Iurii A. Shcherbuk, Saint-Petersburg State University, 7/9 Universitetskaya naberegnaya, St. Petersburg, Russia, 199034


V. I. Zakharov
Saint-Petersburg State University
Russian Federation

Vasilii I. Zakharov 

St. Petersburg



A. Ju. Shcherbuk
Saint-Petersburg State University
Russian Federation

Aleksandr Iu. Shcherbuk 

St. Petersburg



V. V. Donskov
Saint-Petersburg State University
Russian Federation

Viktor V. Donskov 

St. Petersburg



E. V. Cherepanova
Saint-Petersburg State University
Russian Federation

Ekaterina V. Cherepanova 

St. Petersburg



A. A. Iakovlev
Saint-Petersburg State University
Russian Federation

Aleksei A. Iakovlev 

St. Petersburg



T. V. Sergeeva
Saint-Petersburg State University
Russian Federation

Tatiana V. Sergeeva 

St. Petersburg



M. V. Iakovleva
Saint-Petersburg State University
Russian Federation

Mariia V. Iakovleva 

St. Petersburg



References

1. Blagenko A. N., Dubrov V. E., Muhanov M. L, Kartashova S.V., Zobenko V. Y., Blagenko A. A., Kuriniy S. N. Vliyanie somaticheskoy patologii na uroven letalnosti u pacientov starshih vozrastnih grupp s politravmoy. Politravma. 2016. № 2, рр. 11–17. (In Russ.).

2. Clinical profile and comorbidity of traumatic brain injury among younger and older men and women : a brief research notes / V. Chan, T. Mollayeva, K. J. Ottenbacher, A. Colantonio // BMC Res. Notes. 2017. Vol. 10, № 1. P. 371.

3. Donskov V. V., Smochilin A. G., Shcherbuk A. Yu., Shcherbuk Yu. A., Cherepanova E. V. Kushnirenko Yu. N. Sistema etapnogo vosstanovitelnogo lecheniya bolnih pojilogo vozrasta, operirovannikh po povodu opukholey golovnogo mozga i tyjolih cherepno-mozgovikh travm. XX Davidenkovskie chteniya: Yubil. kongr. s mejdunar. uchast.: sb. tez. SPb., Chelovek i ego zdorovye, 2018. рр. 124–125. (In Russ.).

4. Nentwich L. M., Grimmnitz B. Neurologic Emergencies in the Elderly // Emerg. Med. Clin. North Am. 2016. Vol. 34, № 3. P. 575–599.

5. Putilina M. V. Komorbidnost u pacientov pojilogo vozrasta. Jurnal nevrologii i psichiatrii im. S. S. Korsakova. 2016. Vol. 116, № 5, pp. 106–111. (In Russ.).

6. Организация этапной медицинской реабилитации / Ю. А. Щербук, В. И. Захаров, А. Ю. Щербук, А. А. Яковлев. СПб. : [Б. и.], 2017. 152 с. [Shcherbuk Y. A., Zacharov V. I., Shcherbuk A. Y., Ykovlev A. A. Organizaciya etapnoy medicinskoy reabilitacii. SPb., 2017. 152 p.].

7. Hawley C., Sakr M., Scapinello S. et al. Traumatic brain injuries in older adults-6 years of data for one UK trauma centre : retrospective analysis of prospectively collected data // Emerg. Med. J. 2017. Vol. 34, № 8. Р. 509–516.

8. Tulupov A. N., Manukovskiy V. A., Kazhanov I. V., Besaev G. M. Opit okazaniya specializirovannoy medicinskoy pomischi pri zakritih sochetannih travmah i raneniyah v travmocentre pervogo urovnya «Sankt-Peterburgskiy nauchno-issledovatelskiy institute skoroy pomoschi im. I. I. Djanelidze». Medikobiologicheskie i socialno-psihologicheskie problemi bezopasnosti v chrezvichaynih situaciyah. 2018. № 2, pp. 51–59. (In Russ.).

9. Shcherbuk Y. A., Zacharov V. I., Shcherbuk A. Y. Medicinskaya reabilitaciya pacientov, perenesshih operacii na centralnoy nervnoy sisteme: monografiya. SPb.: SZGMU im. I. I. Mecnikova, 2014, 240 p. (In Russ.).


Review

For citations:


Shcherbuk J.A., Zakharov V.I., Shcherbuk A.J., Donskov V.V., Cherepanova E.V., Iakovlev A.A., Sergeeva T.V., Iakovleva M.V. The influence of burdened comorbid status on treatment outcomes of injured elderly patients with severe traumatic brain injury. Grekov's Bulletin of Surgery. 2019;178(1):30-33. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-1-30-33

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ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)