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    
Abstract/OtherAbstract:
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.
Authors:
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.
Affiliation:
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
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Brain Injuries / mortality,  rehabilitation,  therapy*
Emergency Treatment
Female
Follow-Up Studies
Hong Kong
Humans
Logistic Models
Male
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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