Document Detail

Functional survival after acute care for severe head injury at a designated trauma center in Hong Kong.
MedLine Citation:
PMID:  22884269     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Severe head injury is known to be a major cause of early mortalities and morbidities. Patients' long-term outcome after acute care, however, has not been widely studied. We aim to review the outcome of severely head-injured patients after discharge from acute care at a designated trauma center in Hong Kong.
MATERIALS AND METHODS: This is a retrospective study of prospectively collected data of patients admitted with severe head injuries between 2004 and 2008. Patients' functional status post-discharge was assessed using the Extended Glasgow Outcome Score (GOSE).
RESULTS: Of a total of 1565 trauma patients, 116 had severe head injuries and 41 of them survived acute hospital care. Upon the last follow-up, 23 (56.1%) of the acute-care survivors had improvements in their GOSE, six (11.8%) experienced deteriorations, and 12 (23.5%) did not exhibit any change. The greatest improvement was observed in patients with GOSE of 5 and 6 upon discharge, but two of the 16 patients with GOSE 2 or 3 also had a good recovery. On logistic regression analysis, old age and prolonged acute hospital stay were found to be independent predictors of poor functional outcome after a mean follow-up duration of 42 months.
CONCLUSION: Multidisciplinary neurorehabilitation service is an important component of comprehensive trauma care. Despite significant early mortalities, a proportion of severely head-injured patients who survive acute care may achieve good long-term functional recovery.
Benedict B T Taw; Alan C S Lam; Faith L Y Ho; K N Hung; W M Lui; Gilberto K K Leung
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2012-06-06
Journal Detail:
Title:  Asian journal of surgery / Asian Surgical Association     Volume:  35     ISSN:  0219-3108     ISO Abbreviation:  Asian J Surg     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-08-13     Completed Date:  2012-12-27     Revised Date:  2013-06-11    
Medline Journal Info:
Nlm Unique ID:  8900600     Medline TA:  Asian J Surg     Country:  China    
Other Details:
Languages:  eng     Pagination:  117-22     Citation Subset:  IM    
Copyright Information:
Copyright © 2012, Asian Surgical Association. Published by Elsevier Taiwan LLC. All rights reserved.
Division of Neurosurgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong.
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MeSH Terms
Aged, 80 and over
Brain Injuries / mortality,  rehabilitation,  therapy*
Emergency Treatment
Follow-Up Studies
Hong Kong
Logistic Models
Middle Aged
Recovery of Function
Retrospective Studies
Survival Rate
Trauma Centers / statistics & numerical data*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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