Outcome and prognostic factors of traumatic brain injury: a prospective evaluation in a Jakarta University hospital

Joosse, Pieter; Smit, G. P. A.; Arendshorst, R.J.; Soedarmo, Suryadi; Ponsen, Kees Jan; Goslings, J. C.

doi:10.1016/j.jocn.2008.06.014

Cited by 23 publications

(17 citation statements)

References 23 publications

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“…The results related to the SF-36 domains corroborate a study conducted with patients, one year after multiple traumas, whose SF-36 domains related to the mental component (Social Aspects, Emotional Aspects and Mental Health) featured a greater mean score and lower scores than were obtained for the same domains in the present study (5) . Due to the scope of the nervous system functions, HT victims exhibit impairments that are characterized by losses, both physical and mental, and the patient's mental capacity is altered not only in the cognitive area but also in behavior.…”

Section: Discussionsupporting

confidence: 91%

“…The Glasgow Coma Scale (GCS) score is one of the variables that have been extensively studied to estimate the long-term prognosis of BHT victims. Study results indicate that, among the various instruments and variables studied to indicate the prognosis of patients with head trauma, the GCS excels at estimating the progression of these victims (3)(4)(5) . Exploring the predictive power of a very common instrument in the clinical trauma routine, such as the GCS, can provide a great contribution to the recovery process of the victims of head trauma (HT), not only through assisting the work conducted by professionals but also by defining the goals and the expectations of the victims and their families, thus facilitating the confrontation and overcoming of the experienced disabilities and impairments.…”

Section: Introductionmentioning

confidence: 94%

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Escala de coma de Glasgow e qualidade de vida pós-trauma cranioencefálico

Settervall

Sousa

2012

Acta paul. enferm.

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Objective: To evaluate the behavior of different scores on the Glasgow Coma Scale (GCS) observed during the first 72 hours after trauma, before the perceived changes to quality of life and health status, and one year after the traumatic event. Methods: A study using a quantitative approach, observational, longitudinal, descriptive and correlational with victims of blunt head trauma (BHT) evaluated daily during hospitalization, and after one year by means of the Medical Outcome Study . Results: Under the Reciever Operator Characteristic curves, the values of the GCS related to the perceived change of health status did not differ significantly and ranged from 0.63 to 0.71. A correlation, statistically significant, although weak, was observed between GCS scores and some of the domains of the SF-36. Conclusion: It was found that the different values of the GCS presented limitations for application in clinical practice for estimating the consequences of long term BHT. Keywords: Brain injuries; Glasgow Coma Scale; Prognosis; Quality of life reSumo Objetivo: Avaliar o desempenho de diferentes escores da Escala de Coma de Glasgow (ECGl) observados nas primeiras 72 horas pós trauma perante a qualidade de vida e mudança percebida do estado de saúde, após um ano do evento traumático. Métodos: Estudo de abordagem quantitativa, observacional, longitudinal, descritivo e correlacional com vítimas de trauma cranioencefálico contuso (TCEC) avaliadas, diariamente durante a internação hospitalar, e após um ano por meio do Medical Outcome Study . Resultados: sob as curvas Reciever Operator Characteristics dos valores da ECGl referentes à mudança percebida do estado de saúde não apresentaram diferença significativa e variaram de 0,63 a 0,71. Correlação, estatisticamente significante, porém fraca, foi observada entre os escores da ECGl e alguns dos domínios do SF-36. Conclusão: Verificou-se que os diferentes valores da ECGl apresentaram limitações para que fossem aplicados na prática clínica para estimar as consequências do TCEC a longo prazo. Descritores: Traumatismos encefálicos; Escala de Coma de Glasgow; Prognóstico; Qualidade de vida reSumen Objetivo: Evaluar el desempeño de diferentes escores de la Escala de Coma de Glasgow (ECGl) observados en las primeras 72 horas post trauma frente a la calidad de vida y cambio percibido en el estado de salud, después de un año del evento traumático. Métodos: Estudio de abordaje cuantitativo, observacional, longitudinal, descriptivo y correlacional realizado con víctimas de trauma craneoencefálico contuso (TCEC) evaluadas, diariamente durante el internamiento hospitalario, y después de un año por medio del Medical Outcome Study . Resultados: bajo las curvas Reciever Operator Characteristics de los valores de la ECGl referentes al cambio percibido en el estado de salud no presentaron diferencia significativa y variaron de 0,63 a 0,71. Correlación, estadísticamente significativa, no obstante débil, fue observada entre los escores de la ECGl y algunos de los dominios del SF-36. Conclusi...

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 94%

Escala de coma de Glasgow e qualidade de vida pós-trauma cranioencefálico

Settervall

Sousa

2012

Acta paul. enferm.

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“…Women are less likely than men to develop complications which are due to both a harms effect of testosterone and a beneficial effect of female sex hormones estrogens [17]. The mortality rate in this study was 46.2%, which this rate was 35.1% in Australia, 32% in Northern Ireland, 12% in Taiwan and 29% in Tunisia [18,19]. In this study the QOL of the patients in most dimension were impaired and most of the patients had unfavourable QOL.…”

Section: Discussionmentioning

confidence: 47%

Outcome and Predicting Factor Following Severe Traumatic Brain Injury: A Retrospective Cross-Sectional Study

Khajavikhan

Vasigh

Khani

et al. 2016

JCDR

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“…Traumas classified as severe were much more frequent in this study. This characteristic may be related to the study's setting, a referral center for trauma victims that care for severely injured patients as expected in trauma care systems, which is different from other studies' settings (14,18) .…”

Section: Resultsmentioning

confidence: 94%

“…In this context, evidence shows that GCS is a good indicator of prognosis in the case of blunt traumatic brain injuries though studies analyzing the scale with this purpose diverge in relation to the most appropriate time to make such an evaluation given the physiological process triggered by this type of injury (11)(12)(13)(14)(15) . Additionally, the GCS scores are affected by the use of alcohol, drugs, sedation and also by acute hypoxia/ hypotension conditions due to injuries in other areas of the body.…”

Section: Introductionmentioning

confidence: 99%

In-hospital mortality and the Glasgow Coma Scale in the first 72 hours after traumatic brain injury

Settervall

Sousa

Silva

2011

Rev. Latino-Am. Enfermagem

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This study verifies and compares the performance of three different scores obtained in the Glasgow Coma Scale (GCS) in the first 72 hours post trauma in predicting in-hospital mortality. The studied scores included those obtained after initial care was provided at the hospital, and the worst and best scores obtained in the scale in the first 72 hours post trauma. The scale's predictive ability was assessed by the Receiver Operator Characteristic (ROC) curve. A total of 277 victims with different severity levels of blunt traumatic brain injuries were studied. The performance of the three scores that were analyzed to predict hospital mortality was moderate (0.74 to 0.79) and the areas under the curve did not present statistically significant differences. These findings suggest that any of the three studied scores can be applied in clinical practice to estimate the outcome of victims with blunt traumatic brain injuries, taking into consideration the instrument's moderate discriminatory power.Descriptors: Brain Injuries; Trauma Severity Indices; Glasgow Coma Scale; Prognosis; Mortality. Escala de Coma de Glasgow en las primeras 72 horas postrauma encefalocraneano y mortalidad hospitalariaEl estudio tiene como objetivos verificar y comparar el desempeño de puntajes de la Escala de Coma de Glasgow (ECGl) observados en las primeras 72 horas postrauma para predecir la mortalidad hospitalaria. Los valores analizados fueron los puntajes obtenidos después de la atención inicial intra-hospitalaria, además de los peores y mejores resultados de la escala en las primeras 72 horas postrauma. La capacidad de predicción de los puntajes de la ECGl para el Estado Vital a la Salida Hospitalaria fue evaluada, utilizando la curva Reciever Operator Characteristic. Fueron estudiadas 277 víctimas, con trauma encefalocraneano contuso de diferentes gravedades. El desempeño de los puntajes de la ECGl para el estado vital a la salida hospitalaria fue moderado (0,74 a 0,79) y las áreas bajo la curva no presentaron diferencia significativa. Los resultados sugieren que cualquiera de los tres valores de la ECGl analizados pueden ser aplicados en la práctica clínica para estimar el pronóstico de las víctimas de trauma encefalocraneano contuso, considerando, sin embargo su moderado poder discriminatorio.

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Outcome and prognostic factors of traumatic brain injury: a prospective evaluation in a Jakarta University hospital

Cited by 23 publications

References 23 publications

Escala de coma de Glasgow e qualidade de vida pós-trauma cranioencefálico

Escala de coma de Glasgow e qualidade de vida pós-trauma cranioencefálico

Outcome and Predicting Factor Following Severe Traumatic Brain Injury: A Retrospective Cross-Sectional Study

In-hospital mortality and the Glasgow Coma Scale in the first 72 hours after traumatic brain injury

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