
@article{ref1,
title="Severe head injuries: an outcome prediction and survival analysis",
journal="Intensive care medicine",
year="1996",
author="Combes, P. and Fauvage, B. and Colonna, M. and Passagia, J. G. and Chirossel, J. P. and Jacquot, C.",
volume="22",
number="12",
pages="1391-1395",
abstract="OBJECTIVE: To identify the predictors determined early after admission and associated with unfavorable outcome or early (within 48 h) death after severe head injury. DESIGN: Prospective cohort study. SETTING: A neurosurgical intensive care unit in a university hospital. PATIENTS: 198 consecutive comatose patients hospitalized from 1989 to 1992. RESULTS: 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. CONCLUSIONS: 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.<p /><p>Language: en</p>",
language="en",
issn="0342-4642",
doi="",
url="http://dx.doi.org/"
}