Document Detail

Prognosis of patients with severe head injury.
MedLine Citation:
PMID:  450225     Owner:  NLM     Status:  MEDLINE    
The relationship between clinical features of brain dysfunction in the first week after severe head injury and outcome 6 months later has been analyzed for 1000 patients. Depth of coma, pupil reaction, eye movements, and motor response pattern, and patient age prove to be the most reliable predictors. The degree of brain dysfunction changes markedly soon after injury, and more reliable predictions of outcome result when assessment is based on the best level of functioning recorded in each early epoch. Predictions based on very early assessment are, therefore, often unduly pessimistic. Individual predictions of outcome, based on a large data bank, provide a powerful tool for assessing the relative efficacy of alternative treatments.
B Jennett; G Teasdale; R Braakman; J Minderhoud; J Heiden; T Kurze
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  4     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1979 Apr 
Date Detail:
Created Date:  1979-08-29     Completed Date:  1979-08-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  283-9     Citation Subset:  IM    
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MeSH Terms
Age Factors
Autonomic Nervous System / physiopathology
Brain Death
Brain Injuries / diagnosis
Cerebral Hemorrhage / complications
Child, Preschool
Coma / etiology
Craniocerebral Trauma / complications,  diagnosis*,  physiopathology
Follow-Up Studies
Hematoma / complications
Middle Aged
Reflex, Pupillary

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

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