TY - JOUR PY - 2011// TI - The Logistic regression identification of risk factors for 4884 cases of mild head injury (MHI) with abnormal computerized tomography (CT) JO - Zhongguo Wei Zhong Bing Ji Jiu Yi Xue A1 - Zhang, Peng-Chuan A1 - Wang, Sen A1 - Zhang, Jing SP - 613 EP - 615 VL - 23 IS - 10 N2 - 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
LA - zh SN - 1003-0603 UR - http://dx.doi.org/ ID - ref1 ER -