Citation

Zhang PC, Wang S, Zhang J. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 2011; 23(10): 613-615.

Affiliation

Department of Emergence, Hongxing Hospital, Daxing District, Beijing 100076, China.

Copyright

(Copyright © 2011, Zhongguo wei zhong bing ji jiu yi xue za zhi bian ji bu)

DOI

unavailable

PMID

22005563

Abstract

OBJECTIVE: To identify the risk factors in patients with MHI for the evaluation of the severity of the damage. METHODS: The clinical data and brain CT findings from 4884 MHI patients were analyzed retrospectively using non-conditional Logistic regression for their relation to gender, age (≥65 years, <65 years), loss of consciousness, retrograde amnesia, vomiting, cerebrospinal fluid- otorrhea/rhinorrhea, epilepsy, scalp trauma, positive neurological signs and glasgow coma scale (GCS). RESULTS: The odds ratio (OR), 95% confidence interval (95% CI ), and confidence coefficient ( P ) for all the factors were demonstrated as follows, repectively, gender : (0.703, 0.53-0.94, 0.02); age ≥ 65 years: (3.74, 2.38-5.88, 0.00); loss of consciousness: (18.17, 12.66-26.07, 0.00); retrograde amnesia : (4.19, 2.17-8.07, 0.00); vomiting: (27.01, 18.45-39.55, 0.00); cerebrospinal fluid-otorrhea/ rhinorrhea: (63.80, 33.01-123.30, 0.00); epilepsy: (1.61, 0.30-8.58, 0.58); scalp trauma : (0.95, 0.75-1.22, 0.69); positive neurological signs: (9.87, 2.03-47.95, 0.05); and GCS score: (1.10, 0.85-1.42, 0.47). The factor male, age≥65 years, loss of consciousness, retrograde forgetfulness, vomiting, cerebrospinal fluid-otorrhea/rhinorrhea, and positive neurological signs were found to be risk factors for MHI. CONCLUSION: The risk factors as listed above may serve as indexes in the severity evaluation for MHI, and the design of treatment-plan for the patients.

Language: zh