Page 46 - DECISION-MAKING IN SEVERE TRAUMATIC BRAIN INJURY PATIENT OUTCOME, HOSPITAL COSTS, AND RESEARCH PRACTICE

Chapter 2
Tabel III Neurosurgical Interventions
Study Information
Mauritz (2009)19 Europe, 2001-2005 Prospective data
Kawamata (2006)43 Japan, 1998-2001 Retrospective
Salottolo (2016)44 USA,
2009-2013 Retrospective
Tien (2006)45 Canada, 2001-2003 Retrospective
Hu (2015)46 China, 2010-2012 Retrospective
Bindal (2015)47 India, 2009-2011 Retrospective
Martins (2003)48 Brazil, 1994-2000 Retrospective
de Souza (2013)49 Brazil, 1991-2005 Retrospective
Purpose
Investigate outcome of s-TBI with GCS 3 and BFDP.
Effects of surgical excision of necrotic brain tissue in severe cerebral contusion.
Population ♂
N=92 79 F-GCS3: 100% PR-GCS3: 74
ASDH: 46%
EDH: 13% TSAH: 64%
N=182 NP GCS3-5: 58
CC: 182
N=541 74 Surgery: 103
GCS3: 100%
ASDH: 58%
TSAH: 53% CC/laceration: 40%
N=173 68 GCS3: 100%
N=80 82 GCS3-8:47
GCS3-5:15
ASDH: 42.5%
EDH: 21.3% HC: 36.3%
N=72, 79 All GCS4 (M2)
EDH: 38%
CC: 26% ASDH/CC:26% ASDH: 10%
N=319. 93 GCS3-5: 125 Damaged
dura=265
N=181 85 GCS3-5: 68 Penetrating
84% Tangential
16%
Age
32
1: 47.8 2: 54.4
49
±41 46
19% >60 year
26
31
Type of GCS score
Field (F)
and Post- resuscitation (PR)
Admission
Presentation
Admission Admission
Time operation
Admission
Admission
Pupils
BFDP: 100% ≥1 reactive pupil PR (N= 18)
NP
NP
BFDP:104 Reactive pupils (RP):69
Absent pupillary response: One: 7.5%, Two: 26.3 %
NP
Unilateral Dilated Pupils (UDP): 27 Medium Fixed (MF): 38
NP
44
Outcome in TBI treated with cranial surgery (CRANI).
Mortality of s-TBI+GCS3 comparing BFDP with RP.
Outcome of traumatic acute bilateral mass lesions.
Outcome of surgery for supratentorial mass lesions after blunt s-TBI.
Evaluate morbidity and mortality in civilians with head gunshot wounds.
Prognostic factors associated with TBI by a firearm projectile.