MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN SUY GIẢM NHẬN THỨC Ở BỆNH NHÂN SAU PHẪU THUẬT CHẤN THƯƠNG SỌ NÃO

Abstract

Objective: To assess some factors related to cognitive impairment after traumatic brain injury surgery at Thai Binh General Hospital. Method: A descriptive cross-sectional study 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, 11 females. The ratio of males to females was approximately 6.27/1. The average age was 44.36±15.68 years old. Occupation: farmer (51.2%), worker (32.5%). Traffic accidents were the most common cause with 65.0%. Mild TBI (80.0%). Chronic subdural hematoma accounted for (30.0%). Many factors were able to cause postoperative cognitive impairment such as: cause of accident, level of TBI, focal neurological deficits, acute subdural hematoma, treatment lasted more than 14 days, sequelae after traumatic brain injury. This study's multivariable logistic regression analysis showed that patients with sequelae when discharged had a higher risk of cognitive impairment than the group without sequelae, with p<0.05, OR: 8.360. Conclusion: Group of patients with sequelae after traumatic brain injury surgery have a higher risk of cognitive impairment than the group without sequelae.