TY  - JOUR
PY  - 1996//
TI  - Severe head injuries: an outcome prediction and survival analysis
JO  - Intensive care medicine
A1  - Combes, P.
A1  - Fauvage, B.
A1  - Colonna, M.
A1  - Passagia, J. G.
A1  - Chirossel, J. P.
A1  - Jacquot, C.
SP  - 1391
EP  - 1395
VL  - 22
IS  - 12
N2  - 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>
LA  - en
SN  - 0342-4642
UR  - http://dx.doi.org/
ID  - ref1
ER  -