@article{ref1,
title="Relative risk of deterioration after mild closed head injury",
journal="Acta neurochirurgica",
year="1995",
author="Lee, S. T. and Liu, T. N. and Wong, C. W. and Yeh, Y. S. and Tzaan, W. C.",
volume="135",
number="3-4",
pages="136-140",
abstract="In this prospective study, a series of 1812 consecutive mild head injured adult patients who visited the hospital emergency department were assessed. Twenty-eight patients (1.5%) deteriorated after head injury; 23 of these (1.3% of the series) required surgical intervention. Five patients (0.3%) deteriorated due to non-surgical causes [post-traumatic seizure 2, syndrome of inappropriate secretion of antidiuretic hormone (SIADH) 3]. Most of the deterioration occurred within the first 24 hours (57%). Post-traumatic headache was found in 280 patients (15.5%) and 84 patients (4.6%) suffered post-traumatic vomiting. The relative risk is calculated. Age over 60, presence of drowsiness, focal motor weakness, post-traumatic headache and vomiting has increased risk of deterioration (p < 0.001). This study suggests that post-traumatic headache and vomiting deserve more clinical attention rather than being considered as post-traumatic syndrome only.<p /><p>Language: en</p>",
language="en",
issn="0001-6268",
doi="",
url="http://dx.doi.org/"
}