PMID: 8986491Dec 1, 1996Paper

Severe head injuries: an outcome prediction and survival analysis

Intensive Care Medicine
P CombesC Jacquot

Abstract

To identify the predictors determined early after admission and associated with unfavorable outcome or early (within 48 h) death after severe head injury. Prospective cohort study. A neurosurgical intensive care unit in a university hospital. 198 consecutive comatose patients hospitalized from 1989 to 1992. 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. 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.

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Citations

Dec 15, 2005·Neuropsychological Rehabilitation·Agnes Shiel, Barbara A Wilson
Feb 28, 2004·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Wynne E MorrisonCharles N Paidas
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