Predictors of Outcome in Head Injury: Proposal of a New Scaling System

Abstract

The presented scaling system allows a predictive value in mortality and morbidity to be determined for each patient suffering from brain trauma.

Effecting Factors of Outcome in Head Injury

“…[6][7][8][9][10][11][12][13][14] Bu tip çalışmalardan elde edilen bilgiler ile sonuç tahminine yönelik araçlar gelişti-rilmeye çalışılmaktadır. [14][15][16][17][18][19][20][21] Yapılan çalışmalar çoğunlukla hasta kayıt sistemleri iyi olan gelişmiş ülkelerdendir, ülkemizde bu amaçlı çalışma sayısı yeterli değildir; bu çalışmada hasta kayıt sistemimizden elde edilen verilerin sonuç üzerin-deki etkisinin araştırılması amaçlandı. Olguların yaş, cinsiyet, yaralanma nedeni, yaralanma sonrası entübasyon gereksinimleri, acil servise gelmeden veya acil serviste entübe edilip edilmediği, olay yerindeki ve acil servisteki Glasgow koma ölçeği (GKÖ) değeri, [22] sistolik ve diyastolik tansiyon arteryel (TA) değerleri, diğer sistemlerde yaralanma varlı-ğı, acil servisteki ilk nörolojik inceleme, nöroradyolo-jik bulguları, ameliyat gereksinimleri, tedavi sırasında enfeksiyon bulguları, Glasgow çıkış ölçeği (GÇÖ) [23] değerleri ele alındı.…”

Homocystein Levels in Migraine Patients

“…Outcome prediction is not an easy task to achieve after HI, because of complexity of affecting the factors. We described two new predicting models with well described parameter by recent studies for affecting the prognosis of head injured patient (1,(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). In differently, the most of these parameters used in our models were simplified present or absent for easy using.…”

“…Amongst them, prediction of the prognosis plays a key role because it directly affects the selection of the treatment of choice, facilitates clinical management, and is fundamental in family counseling. Currently, prediction of the outcome of patients with HI is not easy to achieve because of the heterogeneity of the patient data, including differences of trauma causes, additional injuries, and personal variables such as age, general health condition, and existence of systemic diseases (3). Presently, the GCS is an important tool in clinical care because of its wide acceptance and ease of application (4).…”

“…However, determination of the GCS score is often difficult in daily routine, because of early sedation, intubation or bilateral periorbital swelling, etc. (3).…”

“…(1,(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). In the literature, more than one hundred recent studies, most of them from developed countries, were designed for predicting the prognosis after HI (15).…”