Document Detail


Neurological outcome in patients with traumatic brain injury and its relationship with computed tomography patterns of traumatic subarachnoid hemorrhage.
MedLine Citation:
PMID:  21332291     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: Traumatic subarachnoid hemorrhage (SAH) is a poor prognostic factor for traumatic brain injury. The authors aimed to further investigate neurological outcome among head injury patients by examining the prognostic values of CT patterns of traumatic SAH, in particular, the thickness and distribution.
METHODS: The study was conducted using a database in a regional trauma center in Hong Kong. Data had been prospectively collected in consecutive trauma patients between January 2006 and December 2008. Patients included in the study had significant head injury (as defined by a head Abbreviated Injury Scale [AIS] score of 2 or more) with traumatic SAH according to admission CT.
RESULTS: Over the 36-month period, 661 patients with significant head injury were admitted to the Prince of Wales Hospital in Hong Kong. Two hundred fourteen patients (32%) had traumatic SAH on admission CT. The mortality rate was significantly greater and a 6-month unfavorable outcome was significantly more frequent in patients with traumatic SAH. Multivariate analysis showed that the maximum thickness (mm) of traumatic SAH was independently associated with neurological outcome (OR 0.8, 95% CI 0.7-0.9) and death (OR 1.3, 95% CI 1.2-1.5) but not with the extent or location of hemorrhage.
CONCLUSIONS: Maximum thickness of traumatic SAH was a strong independent prognostic factor for death and clinical outcome. Anatomical distribution per se did not affect clinical outcome.
Authors:
George K C Wong; Janice H H Yeung; Colin A Graham; Xian-lun Zhu; Timothy H Rainer; Wai S Poon
Publication Detail:
Type:  Journal Article     Date:  2011-02-18
Journal Detail:
Title:  Journal of neurosurgery     Volume:  114     ISSN:  1933-0693     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-02     Completed Date:  2011-08-05     Revised Date:  2012-04-05    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1510-5     Citation Subset:  AIM; IM    
Affiliation:
Division of Neurosurgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong. georgewong@surgery.cuhk.edu.hk
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MeSH Terms
Descriptor/Qualifier:
Abbreviated Injury Scale
Adult
Aged
Brain Injuries / complications,  mortality*,  radiography*
Databases, Factual
Female
Hong Kong / epidemiology
Humans
Male
Middle Aged
Prognosis
Prospective Studies
Subarachnoid Hemorrhage, Traumatic / complications,  mortality*,  radiography*
Trauma Centers
Treatment Outcome
Comments/Corrections
Comment In:
J Neurosurg. 2012 Mar;116(3):689-90; author reply 690-1   [PMID:  22224789 ]

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


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