Clinical outcomes in patients on preinjury ibuprofen with traumatic brain injury

Bardiya Zangbar, Viraj Pandit, Peter Rhee, Mazhar Khalil, Narong Kulvatunyou, Terence OKeeffe, Andrew Tang, Lynn Gries, Donald J. Green, Randall S. Friese, Bellal Joseph

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background The aim of our study was to evaluate the clinical outcomes in patients on preinjury Ibuprofen with traumatic brain injury. Methods We performed a 2-year analysis of all patients on prehospital Ibuprofen with traumatic brain injury and intracranial hemorrhage. Patients on preinjury Ibuprofen were matched using propensity score matching to patients not on Ibuprofen in a 1:2 ratio for age, Glasgow Coma Scale, head-abbreviated injury scale, injury severity score, International Normalized Ratio, and neurologic examination. Outcome measures were progression on repeat head computed tomography (RHCT) and neurosurgical intervention. Results A total of 195 matched (Ibuprofen 65, no-Ibuprofen 130) patients were included. There was no difference in the progression on RHCT (Ibuprofen 18% vs no-Ibuprofen 24%; P =.50). The neurosurgical intervention rate was 18.9% (n = 37). There was no difference for need for neurosurgical intervention (26% vs 16%; P =.10) between the 2 groups. Conclusions In a matched cohort of trauma patients, preinjury Ibuprofen use was not associated with progression of initial intracranial hemorrhage and the need for neurosurgical intervention. Preinjury use of Ibuprofen as an independent variable should not warrant the need for a routine RHCT scan.

Original languageEnglish (US)
Pages (from-to)921-926
Number of pages6
JournalAmerican Journal of Surgery
Volume209
Issue number6
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

Fingerprint

Ibuprofen
Head
Tomography
Traumatic Brain Hemorrhage
Traumatic Intracranial Hemorrhage
Abbreviated Injury Scale
Traumatic Brain Injury
Propensity Score
Glasgow Coma Scale
Injury Severity Score
International Normalized Ratio
Intracranial Hemorrhages
Neurologic Examination
Craniocerebral Trauma
Outcome Assessment (Health Care)

Keywords

  • Ibuprofen
  • Motrin
  • Neurosurgical Intervention
  • Nonsteroidal anti-inflammatory drugs
  • Repeat head computed tomography
  • Traumatic brain injury

ASJC Scopus subject areas

  • Surgery

Cite this

Clinical outcomes in patients on preinjury ibuprofen with traumatic brain injury. / Zangbar, Bardiya; Pandit, Viraj; Rhee, Peter; Khalil, Mazhar; Kulvatunyou, Narong; OKeeffe, Terence; Tang, Andrew; Gries, Lynn; Green, Donald J.; Friese, Randall S.; Joseph, Bellal.

In: American Journal of Surgery, Vol. 209, No. 6, 01.06.2015, p. 921-926.

Research output: Contribution to journalArticle

Zangbar, B, Pandit, V, Rhee, P, Khalil, M, Kulvatunyou, N, OKeeffe, T, Tang, A, Gries, L, Green, DJ, Friese, RS & Joseph, B 2015, 'Clinical outcomes in patients on preinjury ibuprofen with traumatic brain injury', American Journal of Surgery, vol. 209, no. 6, pp. 921-926. https://doi.org/10.1016/j.amjsurg.2014.05.027
Zangbar, Bardiya ; Pandit, Viraj ; Rhee, Peter ; Khalil, Mazhar ; Kulvatunyou, Narong ; OKeeffe, Terence ; Tang, Andrew ; Gries, Lynn ; Green, Donald J. ; Friese, Randall S. ; Joseph, Bellal. / Clinical outcomes in patients on preinjury ibuprofen with traumatic brain injury. In: American Journal of Surgery. 2015 ; Vol. 209, No. 6. pp. 921-926.
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AU - Khalil, Mazhar

AU - Kulvatunyou, Narong

AU - OKeeffe, Terence

AU - Tang, Andrew

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N2 - Background The aim of our study was to evaluate the clinical outcomes in patients on preinjury Ibuprofen with traumatic brain injury. Methods We performed a 2-year analysis of all patients on prehospital Ibuprofen with traumatic brain injury and intracranial hemorrhage. Patients on preinjury Ibuprofen were matched using propensity score matching to patients not on Ibuprofen in a 1:2 ratio for age, Glasgow Coma Scale, head-abbreviated injury scale, injury severity score, International Normalized Ratio, and neurologic examination. Outcome measures were progression on repeat head computed tomography (RHCT) and neurosurgical intervention. Results A total of 195 matched (Ibuprofen 65, no-Ibuprofen 130) patients were included. There was no difference in the progression on RHCT (Ibuprofen 18% vs no-Ibuprofen 24%; P =.50). The neurosurgical intervention rate was 18.9% (n = 37). There was no difference for need for neurosurgical intervention (26% vs 16%; P =.10) between the 2 groups. Conclusions In a matched cohort of trauma patients, preinjury Ibuprofen use was not associated with progression of initial intracranial hemorrhage and the need for neurosurgical intervention. Preinjury use of Ibuprofen as an independent variable should not warrant the need for a routine RHCT scan.

AB - Background The aim of our study was to evaluate the clinical outcomes in patients on preinjury Ibuprofen with traumatic brain injury. Methods We performed a 2-year analysis of all patients on prehospital Ibuprofen with traumatic brain injury and intracranial hemorrhage. Patients on preinjury Ibuprofen were matched using propensity score matching to patients not on Ibuprofen in a 1:2 ratio for age, Glasgow Coma Scale, head-abbreviated injury scale, injury severity score, International Normalized Ratio, and neurologic examination. Outcome measures were progression on repeat head computed tomography (RHCT) and neurosurgical intervention. Results A total of 195 matched (Ibuprofen 65, no-Ibuprofen 130) patients were included. There was no difference in the progression on RHCT (Ibuprofen 18% vs no-Ibuprofen 24%; P =.50). The neurosurgical intervention rate was 18.9% (n = 37). There was no difference for need for neurosurgical intervention (26% vs 16%; P =.10) between the 2 groups. Conclusions In a matched cohort of trauma patients, preinjury Ibuprofen use was not associated with progression of initial intracranial hemorrhage and the need for neurosurgical intervention. Preinjury use of Ibuprofen as an independent variable should not warrant the need for a routine RHCT scan.

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