Page 48 - DECISION-MAKING IN SEVERE TRAUMATIC BRAIN INJURY PATIENT OUTCOME, HOSPITAL COSTS, AND RESEARCH PRACTICE

Chapter 2
Tabel III continued
Study Information
Chamoun (2009)50 USA,
1997-2007 Retrospective
Chieregato(2017)51 Italy,
1997-2012 Retrospective
Weisbrod (2012)59 USA,
2003-2011 Prospective data
Purpose
Outcome of blunt s-TBI patients with GCS=3.
Outcome
of medical management in ASDH
after craniotomy.
Outcomes
of combat casualties sustaining penetrating TBI.
Population ♂ Age
N=189 GCS3: 83 36.5 100% Surgery:
110 Died: 93
Type of GCS score
Presentation
Presentation
Admission
Pupils
BRP:
1: 41%
2: 12.9% BFDP:
1: 14.6% 2: 59.1%
BFDP 100%
NP
Tabel IV Elderly Patients
N=115 67 All ASDH
GCS3-4: 100%
N=137 98 GCS3-5: 31
Gunshot: 31%
Blast: 69%
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Table III: Abbreviations: ♂: Male; ASDH: Acute Subdural Hematoma; BFDP: Bilateral Fixed Dilated Pupils; BRP: Bilateral Reactive Pupils; CC: Cerebral Contusion; DC: Decompressive Craniectomy; FIM: Functional Independence Measure; GCS: Glasgow Coma Scale; GOS: Glasgow Outcome Scale; HC: Haemorrhagic Contusion; ICP: Intracranial Pressure; LTFU: Loss to Follow Up; NP: Not Provided; PVS: Persistent Vegetative State; s-TBI: severe Traumatic Brain Injury; TBI: Traumatic Brain Injury; TSAH: Traumatic Subarachnoid Haemorrhage.
Study Information
Shimoda (2014)18 Japan,
1998-2011 Retrospective
Brazinova(2010)20 Europe, 2001-2005 Prospective
Wan (2016)52 China, 2008-2014 Retrospective
De Bonis (2011)53 Italy, 2002-2009 Retrospective
Benedetto(2017)54 Italy,
2011-2014 Retrospective
Purpose
Benefit of surgery in the elderly after TBI.
Outcome in elderly TBI patients with GCS3-4.
Outcome of surgery in severe intracranial hematoma.
Patient outcome and predictors of survival in TBI and DC.
Outcome after surgery for traumatic ASDH.
Population
N=888 GCS3-5: 421
N=100 GCS3:71 GCS4:29
N=112 GCS3-5: 40
N=44 GCS3-5: 22
N=67 GCS3-5: 17 ASDH: 67
♂ Age
61 ±76
71 ±74 ±72 ±74
59 76.7 53 80.5
Type of GCS Pupils score
Admission NP
Initial NP
Emergency Abnormal: department Overall:59 arrival Surgery:38
Post- NP resuscitation
Admission NP
Table IV: Abbreviations: ♂: Male; ASDH: Acute Subdural Hematoma; DC: Decompressive Craniectomy; GCS: Glasgow Coma Scale; GOS: Glasgow Outcome Scale; ICP: Intracranial Pressure; ICU: Intensive Care Unit; NP: Not provided; TBI: Traumatic Brain Injury
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