Analysis of incidence of traumatic brain injury in blunt trauma patients with Glasgow Coma Scale of 12 or less

Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi
Alexander BeckerIsraeli Trauma Group

Abstract

Early diagnosis of traumatic brain injury (TBI) is important for improving survival and neurologic outcome in trauma victims. The purpose of this study was to assess whether Glasgow Coma Scale (GCS) of 12 or less can predict the presence of TBI and the severity of associated injuries in blunt trauma patients. A retrospective cohort study including 303,435 blunt trauma patients who were transferred from the scene to hospital from 1998 to 2013. The data was obtained from the records of the National Trauma Registry maintained by Israel's National Center for Trauma and Emergency Medicine Research, in the Gertner Institute for Epidemiology and Health Policy Research. All blunt trauma patients with GCS 12 or less were included in this study. Data collected in the registry include age, gender, mechanism of injury, GCS, initial blood pressure, presence of TBI and incidence of associated injuries. Patients younger than 14 years old and trauma victims with GCS 13-15 were excluded from the study. Statistical analysis was performed by using Statistical Analysis Software Version 9.2. Statistical tests performed included Chi-square tests. A p-value less than 0.05 was considered statistically significant. There were 303,435 blunt trauma patie...Continue Reading

Citations

May 22, 2020·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Raimund FirschingMichael Luchtmann
Sep 24, 2019·Journal of Anaesthesiology, Clinical Pharmacology·Ankur KhandelwalGirija Prasad Rath

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.