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:: Volume 4, Issue 4 (1-2016) ::
Journal of Clinical Nursing and Midwifery 2016, __VOLUME_4_(_3_ISSUE__): 68-79 Back to browse issues page
Comparison of patient’s prognostic based on Madras Head Injury Prognostic Scale and Glasgow Outcome Scale in head trauma patients admitted in emergency ward of 5th Azar educative and therapeutic center in Gorgan, 2011
Hosein Ebrahimi , Ali Abbasi *, Abedin Hoseini , MORTEZA Shamsizadeh , Milad Bazghaleah , Mitra Hekmtafshar
Shahroud University of Medical Sciences, Shahroud, I.R. Iran
Abstract:   (4363 Views)

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Background and aims: Head traumatic injuries are the major cause of disability and death in traumatic patients. The estimation of patient’s prognosis after head trauma immediately can be the base of correct clinical decisions in the future, saving cost, early rehabilitation and in final increasing patient’s satisfaction. This study was aimed to investigate the prognosis of head traumatic patients who referred to the emergency wards of 5thAzar educative and therapeutic center with madras predictive scale.

Methods: This is a descriptive correlational study. 117 trauma patients who admitted to the emergency ward in 5th Azar educative and therapeutic center in Gorgan were selected by convenience sampling. Data were collected by demographics checklist, Madras Head Injury Prognostic Scale (MHIPS) and Glasgow Outcome Scale (GOS). Data were analyzed using descriptive statistics and ANOVA, Chi-square, Pearson correlation coefficient and independent t-test with SPSS software.

Results: The mean and standard deviation score of patients’ age was 32.51±1.54. According to MHIPS, prognosis of the most patients was good (54.7%). Patients with intracranial lesions and fractures of the skull had a poorer prognosis, and this difference was statistically significant (P<0.001). There was a direct significant correlation between the madras head injury prognostic scale scores in the early admission and final head trauma outcome based on GOS (P<0.001, r=0.668).

Conclusion: According to the present study, MHIPS in comparison with other measures that used in this field is exact, and faster. Moreover, it is more practical and a simple scale. Therefore, it is recommended further research with the aim of its application in triage of patients in the emergency ward.

Keywords: keywords: Brain injury, Emergency ward, Madras Head Injury Prognostic scale, Glasgow Outcome scale
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Type of Study: Orginal Article | Subject: Special
Received: 2016/01/4 | Accepted: 2016/01/4 | Published: 2016/01/4
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Ebrahimi H, Abbasi A, Hoseini A, Shamsizadeh M, Bazghaleah M, Hekmtafshar M. Comparison of patient’s prognostic based on Madras Head Injury Prognostic Scale and Glasgow Outcome Scale in head trauma patients admitted in emergency ward of 5th Azar educative and therapeutic center in Gorgan, 2011. Journal of Clinical Nursing and Midwifery. 2016; 4 (4) :68-79
URL: http://jcnm.skums.ac.ir/article-1-482-en.html
Volume 4, Issue 4 (1-2016) Back to browse issues page
مجله بالینی پرستاری و مامایی Journal of Clinical Nursing and Midwifery
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