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Intensive Care Med. 1996 Dec;22(12):1391-5.

Severe head injuries: an outcome prediction and survival analysis.

Author information

1
Département d' Anesthésie Réanimation 1, CHU de Grenoble, France.

Abstract

OBJECTIVE:

To identify the predictors determined early after admission and associated with unfavorable outcome or early (within 48 h) death after severe head injury.

DESIGN:

Prospective cohort study.

SETTING:

A neurosurgical intensive care unit in a university hospital.

PATIENTS:

198 consecutive comatose patients hospitalized from 1989 to 1992.

RESULTS:

Logistic regression showed that a combination of age, best motor response score from the Glasgow Coma Scale, and hypoxia provided a good prediction model of unfavorable outcome (sensitivity = 0.93). The length of participation of survivors was 6 to 61 months (median 27.1). The Cox model demonstrated age, motor score less than 3, mydriasis, and hypoxia as poor prognosis factors.

CONCLUSIONS:

Clinicians can determine the odds of a good outcome from the combination of three easily measurable factors using a simple diagram constructed from logistic regression. Survival analysis showed that motor score adjusted values greater than 3 had the same prognosis.

PMID:
8986491
DOI:
10.1007/bf01709556
[Indexed for MEDLINE]

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