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The outcome of neuro-trauma. A 1 year retrospective study in an intensive care unit
Critical Care volume 5, Article number: P245 (2001)
Head injuries are frequent affecting many patients in the prime of life. About 10 million head injuries occur annually in the USA. 20% of these are severe enough to cause brain damage. An initial low GCS 4 has a grave prognosis. Associated injuries may compound the clinical picture. The majority of deaths from head injuries due to raised ICP.
To describe our experience with Neuro-Trauma in the ICU.
A retrospective study over 1 year (1999).
Intensive Care Unit – an academic hospital.
Patients admitted primarily for the management of head injury.
The total number of admissions was 47, with 37 (87%) males and 10 (21%) females. The mean age of the group was 29.3 ± 14.9 years. Sixteen (34%) patients died. Of the 16, 11 (68.8%) were admitted with a GCS ≤ 4.11 (35.5%) of the survivors had an admission GCS ≤ 4. MVA's accounted for 66% of head injuries, followed by assault injuries at 25.5%. 81.25% of the patients died as a result of the primary brain damage. No association could be established between poor outcome and the presence of concomitant injuries, non-operative management and the number of brain lesions.
Mortality from head trauma is high. An initial low GCS ≤ 4 is associated with poor outcome. A few patients with an initial low GCS do recover fully.
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Mpe, M., Mathekga, K. & Mzileni, M. The outcome of neuro-trauma. A 1 year retrospective study in an intensive care unit. Crit Care 5, P245 (2001). https://doi.org/10.1186/cc1310
- Public Health
- Intensive Care Unit
- Retrospective Study
- Emergency Medicine
- Head Injury