Assessment of predictors of one-month outcome in head injury in a Nigerian tertiary hospital

Autor: Adetunji A. Oremakinde, MBBS, MSc, FWACS, Adefolarin O. Malomo, MBBS, FWACS, MHSc, Magbagbeola D. Dairo, MBBS, MSc, FMCPH, Temitayo M. Shokunbi, MBBS, MSc, FRCSC, FWACS, FAS, Augustine A. Adeolu, MBChB, FWACS, Amos O. Adeleye, MBBS, FWACS, FACS
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Interdisciplinary Neurosurgery, Vol 15, Iss , Pp 89-97 (2019)
Druh dokumentu: article
ISSN: 2214-7519
DOI: 10.1016/j.inat.2018.10.005
Popis: Background: Current prognostic models for head injury were developed using data mostly from high income countries. A more useful model may be obtained from predictors designed from data obtained from low and middle income countries where trauma is said to be a neglected endemic condition. Methods: This prospective study, after ethical and institutional clearance, examined 19 clinical and Computerized Tomographic (CT) scan parameters of all head injured patients who met the study's inclusion criteria. The significance of these parameters in predicting outcomes at 15 and 30 days post-injury using the Glasgow Outcome Scale (GOS) and mortality/survival was statistically determined using Univariate and Multivariate analysis. Results: One hundred and fifty patients were prospectively recruited. The age range was 0.33 to 82 years. After univariate analysis, the clinical parameters that were significantly predictive of outcomes were pupillary response (p
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