NINDS TRAUMATIC COMA DATA-BANK - INTRACRANIAL-PRESSURE MONITORING METHODOLOGY

被引:54
作者
MARMAROU, A
ANDERSON, RL
WARD, JD
CHOI, SC
YOUNG, HF
EISENBERG, HM
FOULKES, MA
MARSHALL, LF
JANE, JA
机构
[1] VIRGINIA COMMONWEALTH UNIV, MED COLL VIRGINIA, DEPT BIOSTAT, RICHMOND, VA 23298 USA
[2] UNIV TEXAS, MED BRANCH, DIV NEUROSURG, GALVESTON, TX 77550 USA
[3] NINCDS, BIOMETRY & FIELD STUDIES BRANCH, BETHESDA, MD 20892 USA
[4] UNIV CALIF SAN DIEGO, DIV NEUROL SURG, LA JOLLA, CA 92093 USA
[5] UNIV VIRGINIA, MED CTR, SCH MED, DEPT NEUROSURG, CHARLOTTESVILLE, VA 22901 USA
关键词
TRAUMATIC COMA DATA BANK; HEAD INJURY; INTRACRANIAL PRESSURE; THERAPY INTENSITY LEVEL; BLOOD PRESSURE;
D O I
10.3171/sup.1991.75.1s.0s21
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This report describes the methods used by the Traumatic Coma Data Bank (TCDB) for acquisition and recording of intracranial pressure (ICP) data of severely head-injured patients. Direct computerization of physiological data from all four participating locations within the United States and transmission to a central data bank was found to be logistically complex and costly. A simple manual method for recording ICP, blood pressure, and concomitant ICP therapy at the bedside is described. The method documents the temporal course of these variables for the duration of monitoring. The importance of relating ICP to the therapy intensity level used for ICP management is emphasized. Concomitant analysis of the therapy intensity level is considered imperative in correlative patient studies. The methods described in this report have been in use among all four TCDB hospitals. Examples of ICP data retrieved from the TCDB are presented to illustrate the adequacy of the methods for assessing temporal trends. Of 1030 patients admitted to the TCDB, 654 severely head-injured patients had at least 4 hours of monitoring recorded; elevated ICP (> 20 mm Hg) was observed in 72% of these 654 patients.
引用
收藏
页码:S21 / S27
页数:7
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