Skalių, naudojamų būklės sunkumui įvertinti, prognostinė vertė vaikams, patyrusiems sunkią galvos smegenų traumą
| Autor: | Viktoras Šaferis, Vytautas Ragaišis, Dovilė Evalda Grinkevičiūtė, Algimantas Matukevičius, Arimantas Tamašauskas, Rimantas Kėvalas |
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| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Male
Pediatrics Vaikai--Sužalojimai ir traumas Time Factors Poison control Glasgow Outcome Scale Children--Mortality Injury Severity Score Head--Wounds and injuries Craniocerebral Trauma Prospective Studies Child Pediatric intensive care unit Vaikai--Mirtingumas Head injury Accidents Traffic Age Factors General Medicine Prognosis Treatment Outcome Predictive value of tests Child Preschool Data Interpretation Statistical pediatric head trauma Female medicine.medical_specialty Adolescent Glasgow Outcome Scale Pediatric Index of Mortality 2 macromolecular substances Intensive Care Units Pediatric Sensitivity and Specificity Head trauma Glasgow Coma Scale Pediatric Trauma Score Children--Wounds and injuries Sex Factors Predictive Value of Tests medicine Humans Glasgow Coma Scale Galva--Sužalojimai ir traumas business.industry Infant medicine.disease Survival Analysis ROC Curve business Follow-Up Studies |
| Zdroj: | Medicina; Volume 43; Issue 11; Pages: 861 Medicina, ISSN 1010-660X, 2007, T. 43, Nr. 11, p. 861-869 Medicina Volume 43 Issue 11 |
| ISSN: | 1648-9144 |
| DOI: | 10.3390/medicina43110111 |
| Popis: | Objectives. To determine the threshold values of Pediatric Index of Mortality 2 (PIM 2) score, Pediatric Trauma Score (PTS), and Glasgow Coma Scale (GCS) score for mortality in children after severe head injury and to evaluate changes in outcomes of children after severe head injury on discharge and after 6 months. Material and methods. All children with severe head injury admitted to the Pediatric Intensive Care Unit of Kaunas University of Medicine Hospital, Lithuania, from January 2004 to June 2006 were prospectively included in the study. The severity of head injury was categorized according to the GCS score ≤8. As initial assessment tools, the PTS, postresuscitation GCS, and PIM 2 scores were calculated for each patient. Outcome was assessed according to Glasgow Outcome Scale on discharge and after 6 months. Results. The study population consisted of 59 children with severe head injury. The group consisted of 37 (62.7%) boys and 22(37.3%) girls the mean age was 10.6±6.02. The mean GCS, PTS, and PIM 2 scores were 5.9±1.8, 4.8±2.7, and 14.0±19.5, respectively. In terms of overall outcome, 46 (78.0%) patients survived and 13 (22.0%) died. All three scales appeared to be significant predictors of death. Threshold values for which potential mortality in children after severe head injury increased were 10.75 for PIM 2, 3 for PTS and 5 for GCS. PIM 2 score provided the best discrimination between survivors and nonsurvivors. Conclusions. The threshold values for mortality in children after severe head trauma were PIM 2≥10.75%, PTS≤3 and GCS≤5, and these values were significant risk factors of death in severely head injured children. The changes in outcome for survivals on discharge and after 6 months were statistically significant. |
| Databáze: | OpenAIRE |
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