Multiple clinical factor analysis of prognosis in patients with severe traumatic brain injury
10.3760/cma.j.issn.1671-8925.2016.03.012
- VernacularTitle:影响重型颅脑损伤患者预后的临床因素分析
- Author:
Jingwei SUN
1
;
Zhenlin ZHAO
;
Fu HUANG
;
Kangfeng LIU
;
Hua XIAO
Author Information
1. 南方医科大学附属花都医院神经外科
- Keywords:
Severe traumatic brain injury;
Prognosis;
Clinical factor
- From:
Chinese Journal of Neuromedicine
2016;15(3):279-283
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the potential clinical prognostic factors of severe traumatic brain injury.Methods Two hundred and thirteen severe traumatic brain injury patients,admitted to our hospital from May 2013 to July 2015,were chosen in our study.Their clinical data were retrospectively analyzed;prognostic factors,including age,gender,mGCS scores (movement GCS scores),improved CT scores,brain hernia,volume of intracranial hematoma,range of cerebral contusion and laceration,and location of intracranial hematoma,were estimated using Chi square test,and after the Chi square test,the factors enjoying statistical significance were analyzed by COX proportional hazards regression model.Results The mortality rate was 15.9％ (34/213).Death occurred within 30 days of admission,and death mostly occurred within 10 days of admission (1-10 d:23 patients;11-20 d:9 patients;20-30 d:2 patients).Cox proportional hazards regression analysis indicated that age,GCS scores (movement GCS scores),improved CT scores,and brain hernia were the prognostic risk factors in patients with severe traumatic brain injury,while gender,volume of intracranial hematoma,range of cerebral contusion and laceration,and location of intracranial hematoma were not.Conclusion Age,mGCS scores (movement GCS scores),improved CT scores,and brain hernia dare important factors affecting the prognosis of patients with severe traumatic brain injury.
