TY  - JOUR
PY  - 1995//
TI  - Relative risk of deterioration after mild closed head injury
JO  - Acta neurochirurgica
A1  - Lee, S. T.
A1  - Liu, T. N.
A1  - Wong, C. W.
A1  - Yeh, Y. S.
A1  - Tzaan, W. C.
SP  - 136
EP  - 140
VL  - 135
IS  - 3-4
N2  - 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>
LA  - en
SN  - 0001-6268
UR  - http://dx.doi.org/
ID  - ref1
ER  -