| Autor: |
Stuart G; Kenneth G. Jamieson Neurosurgical Unit, Royal Brisbane Hospital, Herston Road, Herston, Queensland 4029, Australia., Yelland JD, Balderson G |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 1998 Oct; Vol. 5 (4), pp. 402-5. |
| DOI: |
10.1016/s0967-5868(98)90271-5 |
| Abstrakt: |
A prospective epidemiological study of 3095 patients with head injury admitted to Brisbane neurosurgical units is presented. Falls were the commonest cause of injury overall (42%) but traffic accidents were the leading cause of severe head injury Glasgow Coma Scale ([GCS] 8 or less) and had a higher mortality (5.6%). Outcome was closely related to GCS, presence or absence and type of skull fracture, computed tomography (CT) scan findings and age. Overall mortality was 4.4%. Mortality for mild head injury (GCS 13-15) was 0.4%, moderately severe head injury (GCS 9-12) 10.5% and severe head injury (GCS 3-8) 34.5%. The poor outcome in old patients who fall and sustain a mild head injury is highlighted. Low risk criteria are identified and recommendations regarding admission and management policies are made. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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