Relevant factors influencing the evolution of 206 patients with severe head injury

The search for head injury prognostic factors has been intense in the last decades. The importance of identification of these factors has been also recognised to treatment orientation and results estimatives. Based on 206 severe head injuried patients series, we analyzed the influence of factors ove...

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Bibliographic Details
Published in:Arquivos de neuro-psiquiatria 2004-06, Vol.62 (2A), p.313
Main Authors: Dantas Filho, Venâncio Pereira, Falcão, Antonio Luis Eiras, Sardinha, Luis Antonio da Costa, Facure, José Jorge, Araújo, Sebastião, Terzi, Renato G G
Format: Article
Language:Portuguese
Subjects:
Adult
Aged
Brazil - epidemiology
Chi-Square Distribution
Child
Craniocerebral Trauma - mortality
Craniocerebral Trauma - physiopathology
Craniocerebral Trauma - therapy
Female
Glasgow Coma Scale
Humans
Hypotension - physiopathology
Hypoxia, Brain - physiopathology
Intensive Care Units
Intracranial Hypertension - physiopathology
Intracranial Pressure - physiology
Male
Multiple Trauma - physiopathology
Prognosis
Treatment Outcome
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Summary:The search for head injury prognostic factors has been intense in the last decades. The importance of identification of these factors has been also recognised to treatment orientation and results estimatives. Based on 206 severe head injuried patients series, we analyzed the influence of factors over the outcome. The initial severity by Glasgow coma scale, the presence of intracranial hypertension (over 20 mmHg), the type of intracranial lesion and the presence of hypoxia, systemic hypotension or both, significantly influenced the results. The presence of multiple traumas (at least two sites of lesion over head injury), as age, did not influence the final results in this series.
ISSN:0004-282X