PMID: 8970546Dec 1, 1996Paper

Long-term functional status and mortality of elderly patients with severe closed head injuries

The Journal of Trauma
S KilaruK F Lee

Abstract

To evaluate long-term clinical outcome of elderly patients with severe closed head injuries. Retrospective study. All patients older than 65 years of age admitted to a regional trauma center with a diagnosis of closed head injury and an admission Glasgow Coma Scale (GCS) score of 8 or less. Using chi 2 analysis, Student's t test, and multiple logistic regression, we correlated age, sex, mechanism of injury, pupillary reactivity, alcohol and drug use, admission GCS score, Injury Severity Score, Revised Trauma Score, heart rate, and blood pressure to the main outcome measures, i.e. long-term functional outcome and mortality. Among 40 elderly patients who met the criteria, 27% were still alive at the end of 38 +/- 3 month follow-up. Eighty-five percent of patients who were discharged from the hospital were still alive long-term, but did not show significant neurologic improvement. In a univariate analysis, GCS and pupillary reactivity were predictive for long-term functional outcome and mortality. In a multivariate analysis, GCS and heart rate were predictive. All patients with an admission GCS score of 3 died in-hospital. All patients with an admission GCS score of 3 to 7 were either deceased or lived in persistent vegetative or ...Continue Reading

References

Mar 1, 1975·Lancet·B Jennett, M Bond
Jan 1, 1992·British Journal of Neurosurgery·A JamjoomB Cummins
Apr 1, 1992·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·A M RossS Kobayashi
Aug 12, 1989·Lancet·R M Gibson, G C Stephenson
Dec 1, 1987·Annals of Surgery·E J DeMariaD S Gann
Jul 1, 1984·The Journal of Trauma·M R OreskovichC J Carrico
Jan 1, 1982·Journal of Gerontology·M P LawtonM H Kleban
Mar 1, 1981·Journal of Neurosurgery·J D MillerD P Becker
Feb 1, 1994·The Surgical Clinics of North America·T A SantoraS Z Trooskin
Jul 1, 1993·Archives of Surgery·J L PenningsT Slazinski

❮ Previous
Next ❯

Citations

Oct 31, 2003·Journal of the American College of Surgeons·Colin HarrisDeborah L Benzil
May 25, 2002·Journal of the American Geriatrics Society·Therese S RichmondTammy Meredith
Jan 16, 2002·The Journal of Trauma·Stephen W MeldonWilliam Fallon
May 4, 2002·The Journal of Trauma·Anne C MosenthalDavid H Livingston
Nov 17, 2007·Critical Care Medicine·Hilaire J ThompsonEllen J MacKenzie
Feb 13, 2003·The Journal of Trauma·David G JacobsUNKNOWN EAST Practice Management Guidelines Work Group
Jan 28, 2005·The Journal of Trauma·William Buczko
May 15, 2007·The Journal of Trauma·Martinus RichterChristian Krettek
Sep 11, 2003·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·T Shinoda-Tagawa, D E Clark
Sep 3, 2011·Journal of Emergencies, Trauma, and Shock·George K C WongWai S Poon
Jan 9, 2014·The Journal of Trauma and Acute Care Surgery·José G M Hofhuis, Peter E Spronk
Feb 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Johanna M M NijboerHendrik-Jan Ten Duis
Jan 1, 2012·Current Translational Geriatrics and Experimental Gerontology Reports·Calvin H K MakWai Sang Poon
May 4, 2010·Acta neurochirurgica·H C PatelFiona E Lecky
Jul 1, 2006·Brain Injury : [BI]·Theresa Louise-Bender PapeVanessa Williams
Mar 20, 2010·Archives of Physical Medicine and Rehabilitation·Melissa Sendroy-TerrillCynthia A Brooks
Aug 21, 2007·Surgical Neurology·Sandeep MohindraRajesh Chhabra
Apr 22, 2006·Clinics in Geriatric Medicine·Steven R FlanaganWayne A Gordon
Nov 28, 2006·The Surgical Clinics of North America·Tammy T Chang, William P Schecter
Dec 2, 2004·Journal of the American Geriatrics Society·David E ClarkDavid E Wennberg
Nov 25, 2003·Emergency Medicine·Belinda J GabbeCaroline F Finch
Nov 18, 2003·ANZ Journal of Surgery·Belinda J GabbeCaroline F Finch
Mar 1, 2006·Journal of Affective Disorders·Mark J RapoportAnthony Feinstein
Jan 24, 2006·Journal of the American College of Surgeons·K Francis Lee
Sep 15, 2005·Neurobiology of Aging·Jessica R Conde, Wolfgang J Streit
Nov 25, 2004·Physical Medicine and Rehabilitation Clinics of North America·Steven R FlanaganWayne A Gordon
Apr 5, 2005·Clinics in Geriatric Medicine·Nancy P HanrahanAngela M Gerolamo
Apr 24, 2014·Australasian Journal on Ageing·Melissa T NottIan J Baguley
Mar 4, 2015·World Neurosurgery·Erik HerouGregor Tomasevic
Sep 16, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A M K HarmsenF W Bloemers
Nov 7, 2016·Anesthesiology Clinics·Bishwajit Bhattacharya, Adrian A Maung

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.