BACKGROUND Traumatic brain injury is a major public health problem due to high mortality and morbidity among survivors. METHODS We performed a retrospective cohort study of patients with severe traumatic brain injury. We recorded the attending physician's evaluation of the patient's consciousness, the patient's demographics, routine physical measurements, and medical interventions. We used Gl...

background cerebral state index (csi) is derived from electroencephalograms to monitor the level of consciousness during anesthesia. some evidence shows that this indicator has been used to detect cerebral ischemia and prognostic outcomes for traumatic brain injury (tbi). objectives the present study was designed to investigate the correlation between glasgow coma score (gcs) and csi for brain-...

conclusions the mgap scoring system can be used as an appropriate scoring system to predict mortality in triage trauma patients. results patients were divided into three groups : scores of less than 18, 18 - 22 and greater than 22; in which the mortality rates were 75.2%, 9.5% and 0.1%, respectively (p < 0.0001). the best cut-off point was 22 in our study, and the mgap scoring system had 93.7% ...

BACKGROUND AND PURPOSE A number of scores were developed to predict outcomes after clipping for subarachnoid hemorrhages, yet there is no score for patients undergoing endovascular treatment. Our goal was to develop, compare, and validate a predictive score for 1-year outcomes in patients with coiled subarachnoid hemorrhage. METHODS We studied 526 patients for 1 year after intensive care unit...

Although the development and use of severity-of-illness measures has gained widespread enthusiasm, uncertainty remains as to the optimal measure for stroke patients. The Health Care Financing Administration recently derived a severity-of-illness measure based on the APACHE II system to explain differences in Medicare mortality rates among hospitals treating stroke patients. We hypothesized that...

BACKGROUND Randomized trials of thrombolytic stroke treatment have either excluded patients with posterior circulation ischemia or used inclusion criteria making enrollment of these patients less likely. Consequently, there is less published information on thrombolytic therapy for posterior circulation stroke. OBJECTIVE To determine effective thrombolytic treatment times for posterior circula...

Background: The modified Glasgow Coma Scale (MGCS), in spite of its various drawbacks has been widely used for assessing pediatric coma, though only few studies are available to support its use in pediatric coma as a whole. . This study is to evaluate the relation between Modified Glasgow coma scale and Brainstem reflexes in predicting survival and outcome in children with non-traumatic coma. M...

Cranial traumas have different particularities in infants, toddlers, preschool child, school child and teenagers. The assessment of these cases must be individualized according to age. It is completely different in children that in adults. Trauma scales, very useful in grading the severity and predicting outcome in traumatic brain injury, used in adults must be adapted in children. Children hav...

Background: Appropriate clinical measures to prevent secondary brain damage in traumatic brain injury are of critical importance. Objectives: This study aims to investigate the relationships between serum electrolyte disturbances and Glasgow Coma Scale (GCS) score in patients with Diffuse Axonal Injury (DAI) at the time of admission and discharge. Materials & Methods: In this retrospective cr...