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

Abstract 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...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2009-07, Vol.16 (7), p.925-928
Main Authors: Joosse, P, Smit, G, Arendshorst, R.J, Soedarmo, S, Ponsen, K.-J, Goslings, J.C
Format: Article
Language:English
Subjects:
Abbreviated Injury Scale
Adult
Brain Injuries - diagnosis
Brain Injuries - mortality
Brain Injuries - therapy
Developing countries
Disability Evaluation
Female
Glasgow Outcome Scale
Hospitals, University - statistics & numerical data
Humans
Male
Neurology
Odds Ratio
Prognosis
Prognostic factors
Prospective Studies
Retrospective Studies
Risk Factors
ROC Curve
Trauma and injury severity score
Traumatic brain injury
Treatment Outcome
Young Adult
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Summary:Abstract 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.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2008.06.014