TREATMENT RESULTS EVALUATION IN PATIENTS WITH SEVERE SEPSIS, CAUSED BY SEVERE TRAUMATIC BRAIN INJURY AT INTENSIVE CARE UNIT OF TERNOPIL UNIVERSITY HOSPITAL

Background. Severe traumatic brain injury stays one of the main reasons of humans’ mortality until the age of 40. Ternopil University Hospital delivers medical care to the patients with neurosurgical pathology of Ternopil region, which is comprised of 1 107 000 citizens.

Material and methods. In this paper we analyzed the treatment results of 301 patients

with severe traumatic brain injury (STBI), who were treated at intensive care unit of Ternopil

University Hospital during 2013-2014. Microbiological research and evaluation of results were accomplished according to generally accepted principles, based on the Bergey’s classification.

Results. In 72 patients it was complicated by severe sepsis. The mortality rate in clinic reached 29.7 % in 2013-2014, or equals 1.9 person per 100 000 of population. Among the intensive care unit patients with STBI, who had the surgery based on this pathological condition, sepsis developed in 23.9% of patients. Acute respiratory distress syndrome (ARDS), which complicated sepsis, was successfully cured in 73.3% of cases, by additional usage of traditional ventilation, kinesiotherapy, oxygen therapy and pulse therapy with glucocortisteroids (GS). 22.2% of patients obtained acute renal failure, 9.72% of patients were treated by implementing hemodialysis. Concomitant polytrauma was present in 23.9% of patients.

Conclusions. Theusageof pulse therapy with glucocortisteroids additionally to traditional

mechanical ventilation, kinesiotherapy, and oxygen therapy for the treatment of acute

respiratory distress syndrome helps to improve the life expectancy of patients.