Page 101 - DECISION-MAKING IN SEVERE TRAUMATIC BRAIN INJURY PATIENT OUTCOME, HOSPITAL COSTS, AND RESEARCH PRACTICE

Table 2. Patient outcome
Patient category N
All patients 108
Age ≥65 65
Age <65 43
GCS 3 10
GCS 3 – 5 22
GCS 3 – 8 49
GCS 9 – 12 19
GCS 13 – 15 40
Pupillary abnormality 27 No abnormalities * 74
Emergency surgery
No 18 Craniotomy 60 Decompressive 29
N (%) death ^
48 (44)
21 (32)
19 (44)
7 (70)
14 (64)
30 (61)
9 (47)
9 (23)
15 (56) 29 (39)
3 (17) 26 (43) 18 (62)
N (%) GOS1-3
56 (53)
29 (45)
27 (63)
9 (90)
17 (77)
35 (71)
10 (53)
11 (28)
19 (70) 32 (43)
3 (17) 32 (53) 21 (72)
30 (75) 26 (38)
N/A 56 (100)
N (%) returned QOLIBRI #
25 (23)
16 (25)
9 (21)
0
2 (9)
7 (14)
4 (21)
14 (35)
5 (19) 18 (24)
4 (22) 15 (25) 6 (21)
9 (23) 16 (24)
23 (46) 2 (4)
QOLIBRI score
62.8 ± 23.5 66.8 ± 22.1 55.7 ± 25.6 N/A
66.0 ± 7.07
61.4 ± 24.8
61.0 ± 25.5
64.0 ± 24.1
49.8 ± 19.4 64.5 ± 24.6
56.3 ± 28.6 68.4 ± 21.0 53.2 ± 26.3
55.1 ± 20.4 67.1 ± 24.7
63.9 ± 23.3 50.5 ± 2.1
QOLIBRI follow up (months)
37 ± 17
38 ± 18
35 ± 16
N/A
13 ± 2
34 ± 19
50 ± 21 4 35 ± 14
47 ± 23 32 ± 13
33 ± 15 36 ± 17 42 ± 21
36 ± 24 37 ± 13
37 ± 17 37 ± 25
Outcome (GOS)
Favourable
Unfavourable
Missing 2
50 4 (8)
56
42 (75)
Outcome versus in-hospital costs: a neurosurgical paradox?
craniectomy
ICP monitoring No ICP monitoring
40 20 (50) 68 28 (41)
Table 2 provides an overview of mortality, functional outcome and health related quality of life per subgroup. Legend:
Results presented as number (row percentage) and mean ± SD
# The response rate is reported as percentage of survivors from the specific category.
*Pupillary abnormality information was missing for 7 patients
^ Mortality at time of QOLIBRI follow-up
Abbreviations: LOS,lengthofstay;GCS,GlasgowComaScore;ICP,intracranialpressure;QOLIBRI,qualityoflifeafterbraininjury; M, months; N/A, not applicable.
Figure 1. Patient outcome
Fig.1 shows both functional outcome (favourable: GOS 4-5, unfavourable GOS 1-3) and TBI-specific health related quality of life (QOLIBRI) for all patients and for severity subgroups
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