| Autor: |
John K. Yue, Caitlin K. Robinson, Ethan A. Winkler, Pavan S. Upadhyayula, John F. Burke, Romain Pirracchio, Catherine G. Suen, Hansen Deng, Laura B. Ngwenya, Sanjay S. Dhall, Geoffrey T. Manley, Phiroz E. Tarapore |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
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| Zdroj: |
Neurobiology of Sleep and Circadian Rhythms, Vol 2, Iss , Pp 85-93 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
2451-9944 |
| DOI: |
10.1016/j.nbscr.2016.09.002 |
| Popis: |
Introduction: The Glasgow Coma Scale (GCS) score is the primary method of assessing consciousness after traumatic brain injury (TBI), and the clinical standard for classifying TBI severity. There is scant literature discerning the influence of circadian rhythms or emergency department (ED) arrival hour on this important clinical tool. Methods: Retrospective cohort analysis of adult patients suffering blunt TBI using the National Sample Program of the National Trauma Data Bank, years 2003–2006. ED arrival GCS score was characterized by midday (10 a.m.–4 p.m.) and midnight (12 a.m.–6 a.m.) cohorts (N=24548). Proportions and standard errors are reported for descriptive data. Multivariable regressions using odds ratios (OR), mean differences (B), and their associated 95% confidence intervals [CI] were performed to assess associations between ED arrival hour and GCS score. Statistical significance was assessed at p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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