| 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 |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Fluoroscopically guided epidural blood patch with subsequent spinal CT scans in the treatment of spo...
Next Document: Extraventricular corpus callosotomy.