MỨC ĐỘ SUY GIẢM NHẬN THỨC Ở BỆNH NHÂN SAU PHẪU THUẬT CHẤN THƯƠNG SỌ NÃO

Abstract

Objective: To assess cognitive impairment in patients after traumatic brain injury surgery using the Mini Mental Status Examination (MMSE) at Thai Binh General Hospital. Methods: A descriptive cross-sectional study of cognitive status was conducted among 80 patients suffered from traumatic brain injury undergone surgeries at Thai Binh General Hospital during the period from June 2022 to June 2023. . Results: 80 patients including 69 males (86.2%), 11 females (13.8%); The ratio of males to females was approximately 6.27/1. The average age was 44.36±15.68 years old, the 56-65 age group had the highest rate of 33.8%. Occupation: farmer (51.2%), worker (32.5%). Traffic accidents were the most common cause (65.0%). The condition when admitted to the hospital was mild TBI accounted for (80%), moderate TBI amounted to 13.8%, and severe TBI comprised 6.2%. Patients with chronic subdural hematoma constituted (30%), epidural hematoma added up to (20%), and penetrating head injury made up (18.8%). The lowest was skull fracture composed (5%). When discharged from the hospital, postoperative patients had a general cognitive impairment of 77.5%, including mild (37.5%), moderate (30%), and severe (10%). Conclusion: The level of cognitive impairment in patients after traumatic brain injury surgery is relatively high. Therefore, there is a requirement for a comprehensive rehabilitation program after discharge from the hospital to improve the quality of life for patients, especially those with moderate and severe cognitive impairment.