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The Effect of Oxygenation on Mortality in Patients With Head Injury

Introduction In this study, we planned to investigate the effect of hyperoxygenation on mortality and morbidity in patients with head trauma who were followed and treated in the intensive care unit (ICU). Methods Head trauma cases (n = 119) that were followed in the mixed ICU of a 50-bed tertiary ca...

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Autores principales: Kılınç, Zehra, Ayyıldız, Elif Aybike, Kaya, Ebru, Sahin, Ayca Sultan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976649/
https://www.ncbi.nlm.nih.gov/pubmed/36874741
http://dx.doi.org/10.7759/cureus.34385
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author Kılınç, Zehra
Ayyıldız, Elif Aybike
Kaya, Ebru
Sahin, Ayca Sultan
author_facet Kılınç, Zehra
Ayyıldız, Elif Aybike
Kaya, Ebru
Sahin, Ayca Sultan
author_sort Kılınç, Zehra
collection PubMed
description Introduction In this study, we planned to investigate the effect of hyperoxygenation on mortality and morbidity in patients with head trauma who were followed and treated in the intensive care unit (ICU). Methods Head trauma cases (n = 119) that were followed in the mixed ICU of a 50-bed tertiary care center in Istanbul between January 2018 and December 2019 were retrospectively analyzed for the negative effects of hyperoxia. Age, gender, height/weight, additional diseases, medications used, ICU indication, Glasgow Coma Scale score recorded during ICU follow-up, Acute Physiology and Chronic Health Evaluation (APACHE) II score, length of hospital/ICU stay, the presence of complications, number of reoperations, length of intubation, and the patient's discharge or death status were evaluated. The patients were divided into three groups according to the highest partial pressure of oxygen (PaO(2)) value (200 mmHg) in the arterial blood gas (ABG) taken on the first day of admission to the ICU, and ABGs on the day of ICU admission and discharge were compared. Results In comparison, the first arterial oxygen saturation and initial PaO(2) mean values were found to be statistically significantly different. There was a statistically significant difference in mortality and reoperation rates between groups. The mortality was higher in groups 2 and 3, and the rate of reoperation was higher in group 1. Conclusion In our study, mortality was found to be high in groups 2 and 3, which we considered hyperoxic. In this study, we tried to draw attention to the negative effects of common and easily administered oxygen therapy on mortality and morbidity in ICU patients.
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spelling pubmed-99766492023-03-02 The Effect of Oxygenation on Mortality in Patients With Head Injury Kılınç, Zehra Ayyıldız, Elif Aybike Kaya, Ebru Sahin, Ayca Sultan Cureus Anesthesiology Introduction In this study, we planned to investigate the effect of hyperoxygenation on mortality and morbidity in patients with head trauma who were followed and treated in the intensive care unit (ICU). Methods Head trauma cases (n = 119) that were followed in the mixed ICU of a 50-bed tertiary care center in Istanbul between January 2018 and December 2019 were retrospectively analyzed for the negative effects of hyperoxia. Age, gender, height/weight, additional diseases, medications used, ICU indication, Glasgow Coma Scale score recorded during ICU follow-up, Acute Physiology and Chronic Health Evaluation (APACHE) II score, length of hospital/ICU stay, the presence of complications, number of reoperations, length of intubation, and the patient's discharge or death status were evaluated. The patients were divided into three groups according to the highest partial pressure of oxygen (PaO(2)) value (200 mmHg) in the arterial blood gas (ABG) taken on the first day of admission to the ICU, and ABGs on the day of ICU admission and discharge were compared. Results In comparison, the first arterial oxygen saturation and initial PaO(2) mean values were found to be statistically significantly different. There was a statistically significant difference in mortality and reoperation rates between groups. The mortality was higher in groups 2 and 3, and the rate of reoperation was higher in group 1. Conclusion In our study, mortality was found to be high in groups 2 and 3, which we considered hyperoxic. In this study, we tried to draw attention to the negative effects of common and easily administered oxygen therapy on mortality and morbidity in ICU patients. Cureus 2023-01-30 /pmc/articles/PMC9976649/ /pubmed/36874741 http://dx.doi.org/10.7759/cureus.34385 Text en Copyright © 2023, Kılınç et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Kılınç, Zehra
Ayyıldız, Elif Aybike
Kaya, Ebru
Sahin, Ayca Sultan
The Effect of Oxygenation on Mortality in Patients With Head Injury
title The Effect of Oxygenation on Mortality in Patients With Head Injury
title_full The Effect of Oxygenation on Mortality in Patients With Head Injury
title_fullStr The Effect of Oxygenation on Mortality in Patients With Head Injury
title_full_unstemmed The Effect of Oxygenation on Mortality in Patients With Head Injury
title_short The Effect of Oxygenation on Mortality in Patients With Head Injury
title_sort effect of oxygenation on mortality in patients with head injury
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976649/
https://www.ncbi.nlm.nih.gov/pubmed/36874741
http://dx.doi.org/10.7759/cureus.34385
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