PMID: 8970547Dec 1, 1996Paper

Impact of traumatic subarachnoid hemorrhage on outcome in nonpenetrating head injury. Part II: Relationship to clinical course and outcome variables during acute hospitalization

The Journal of Trauma
K A GreeneT Harrington

Abstract

Patients with a nonpenetrating head injury and traumatic subarachnoid hemorrhage (tSAH) on admission head computed tomography scan (n = 240) were compared with patients without tSAH matched in terms of admission postresuscitation Glasgow Coma Scale (GCS) values, age, sex, and the presence of one or more types of intracranial mass lesions. Admission Injury Severity Score was higher only in tSAH patients with admission GCS scores between 13 and 15; GCS values at 6, 24, and 48 hours were lower for tSAH patients. Patients with tSAH underwent fewer craniotomies, but more than twice as many tSAH patients had high intracranial pressure at the time of ventriculostomy placement and 6 hours after admission. tSAH patients underwent more chest procedures and their incidence of hypoxia and hypotension was greater. tSAH patients spent more days in intensive care unit, more total days hospitalized, and had worse Glasgow Outcome Scale scores at acute hospital discharge. Fewer tSAH patients were discharged home, and almost 1.5 times as many tSAH patients died during hospitalization. Given a similar overall degree of injury at admission, patients with tSAH associated with a nonpenetrating head injury had a worse outcome than similar patients wit...Continue Reading

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Citations

May 7, 2002·Journal of Neurotrauma·Thomas C GlennDavid A Hovda
Nov 10, 2009·Journal of Neurotrauma·Kimberly A ChunMax Wintermark
Jul 1, 1997·Journal of Neurosurgery·K A GreeneT R Harrington
Jul 28, 2004·International Review of Psychiatry·Rebecca F GottesmanArgye E Hillis
Sep 19, 2009·The Journal of International Medical Research·G W ZhuW G Liu
Dec 22, 1999·Hospital Medicine·H C PatelJ D Pickard
Nov 3, 2020·Current Neurology and Neuroscience Reports·Svetlana KvintDmitriy Petrov

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