Severe head injuries: an outcome prediction and survival analysis.
Intensive Care Med
; 22(12): 1391-5, 1996 Dec.
Article
em En
| MEDLINE
| ID: mdl-8986491
ABSTRACT
OBJECTIVE:
To identify the predictors determined early after admission and associated with unfavorable outcome or early (within 48 h) death after severe head injury.DESIGN:
Prospective cohort study.SETTING:
A neurosurgical intensive care unit in a university hospital. PATIENTS 198 consecutive comatose patients hospitalized from 1989 to 1992.RESULTS:
Logistic regression showed that a combination of age, best motor response score from the Glasgow Coma Scale, and hypoxia provided a good prediction model of unfavorable outcome (sensitivity = 0.93). The length of participation of survivors was 6 to 61 months (median 27.1). The Cox model demonstrated age, motor score less than 3, mydriasis, and hypoxia as poor prognosis factors.CONCLUSIONS:
Clinicians can determine the odds of a good outcome from the combination of three easily measurable factors using a simple diagram constructed from logistic regression. Survival analysis showed that motor score adjusted values greater than 3 had the same prognosis.
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Base de dados:
MEDLINE
Assunto principal:
Índice de Gravidade de Doença
/
Mortalidade Hospitalar
/
Cuidados Críticos
/
Traumatismos Craniocerebrais
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
1996
Tipo de documento:
Article