Outcome and prognostic factors of traumatic brain injury: a prospective evaluation in a Jakarta University hospital

被引：18

作者：

Joosse, P. ^{[1
]}

Smit, G. ^{[2
]}

Arendshorst, R. J. ^{[3
]}

Soedarmo, S. ^{[4
]}

Ponsen, K. -J. ^{[5
]}

Goslings, J. C. ^{[5
]}

机构：

[1] Sint Lucas Andreas Hosp, Dept Surg, NL-1061 AE Amsterdam, Netherlands

[2] Katholieke Univ Nijmegen, Radboud Hosp, Dept Gen Practice, Nijmegen, Netherlands

[3] Vrije Univ Amsterdam, VU Med Ctr, Dept Gen Practice, Amsterdam, Netherlands

[4] Univ Kristen Indonesia, UKI Hosp, Dept Surg, Jakarta, Indonesia

[5] Univ Amsterdam, Acad Med Ctr, Dept Surg, Trauma Unit, NL-1105 AZ Amsterdam, Netherlands

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 2009年 / 16卷 / 07期

关键词：

Developing countries; Prognostic factors; Trauma and injury severity score; Traumatic brain injury; SEVERE HEAD-INJURY; SEVERITY; MORTALITY; SCALE; TRISS; CARE;

D O I：

10.1016/j.jocn.2008.06.014

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The aim of the study was to report management and outcome of traumatic brain injury (TBI) in a Jakarta University hospital, and to determine prognostic factors. All consecutive patients with an Abbreviated Injury Score (AIS) head of >= 4 or an AIS head score of >= 3 combined with an AIS score of _> 2 in any other body region were analyzed on patient characteristics and outcome. Prognostic factors evaluated were Glasgow Coma Scale (GCS) score, pupil reactions and probability of survival based on the Trauma and Injury Severity Score (TRISS) method. A total of 49 patients were included; overall mortality was 37%. The GCS and abnormal pupil reactions were associated with mortality with an odds ratio of 0.78 and 6.90, respectively. Thus, TBI has a poor prognosis in the population under study. The TRISS has limitations in evaluating trauma care for this selected group of patients. GCS and pupil reactions are valuable and simple for usage as prognostic factors. (C) 2008 Elsevier Ltd. All rights reserved.

引用

页码：925 / 928

页数：4

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