Prognostic factors in traumatic brain injury and their association with outcome

Bartłomiej Kulesza 1, Adam Nogalski 2, Tomasz Kulesza 1, Andrzej Prystupa 3
1 - Department of Trauma Surgery and Emergency Medicine, Medical University of Lublin, Poland
2 - Department of Trauma Surgery and Emergency Medicine, Medical University of Lublin, Pola
3 - Department of Internal Medicine, Medical University of Lublin, Poland
JPCCR
2015; 9 (2):
ICID: 1186499
Article type: Review article
 
 
Introduction. Traumatic brain injuries (TBI) are a real social problem, with an upward trend worldwide. TBI is the leading cause of death and disability, especially among young men. Each year in Europe, and also in Poland, 243 per 100,000 individuals suffer from TBI. Assessing prognosis after traumatic brain injury is very important in order to help clinicians to make a decision about the implementation of specific methods of treatment, and to make communication with the patient and the patient’s family easier.
Objective. The objective of this review was to present prognostic factors, to assess outcomes within a short time after a moderate to severe traumatic brain injury, as well as to predict functional outcome. The most important independent variables were: age, Glasgow Coma Scale (GCS) motor score, pupil response, Marshall CT classification and traumatic subarachnoid haemorrhage. Other important prognostic factors included hypotension, hypoxia, glucose, coagulopathy, haemoglobin and category of CT characteristic, such as midline shift, mass lesion, basal cistern.
Conclusions. Gender and intraventricular haemorrhage did not have predictive value. This subject needs much more research in the area of new prognostic factors which would be better associated with outcome after traumatic brain injury.
DOI: 10.5604/18982395.1186499
  FULL TEXT STATS

Recommend this article to:

Name:
E-mail:
From:
Language:


Related articles in IndexCopernicus™
     Outcome [189 related records]
     prognostic factors [111 related records]
     traumatic brain injury [53 related records]



 

Related articles

G Mohamed, M Saed,
Predictive value of copeptin as a severity marker ...
Pneumonia is the leading cause of death in children. Few studies have explored the predictive value of copeptin in pediatric pneumonia....
ABSTRACT
H Huliyappa, M Jaiswal,
Potential Predictors of Prolonged Hospital Stay in...
Objective: Establishing a reliable prognosis after surgery for traumatic brain injury(TBI) is difficult. Majority of the prognostic models help in morbidity and mortality assessment. In a developing country, unexpected prolonged hospital stay can hav...
ABSTRACT
S Dudko, P Kosior,
Factors Influencing Treatment of Proximal Femoral ...
Background. Orthopaedics and traumatology departments are dominated by patients with proximal femoral fractures, who represent 20-30% of all patients treated there. The aim of this study was identification and evaluation of factors influencing...
ABSTRACT