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...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 background : traumatic brain injury (tbi) is known as one of the most important causes of mortality in middle-aged population. the aim of this study was to evaluate the effects of gabapentin in improvement of consciousness level in these patients. methods : this randomized clinical trial was performed in march 2008 to sept...

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: 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...

injuries, especially traffic accidents are so important causes of death, disability, hospital expenses, economic damages to the society which world health organization selected them as the main subjects for investigation and research. we have done an epidemiologic study about trauma in guilan, a province in north of iran. this is   a descriptive study carried out on patients with traumatic inju...

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...

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...

Results Therewere 31cases, for which 93 controlswere selected.Study variables associatedwith anincreasedriskof subsequent suicidewere anincrease inthe numberofdrugs ingested (oddsratio 2.59, 95% CI1.48^4.51), an increase inthe dose ingested (OR1.33,95% CI1.01^1.76), an increase in coma score (OR1.71,95% CI 1.11^2.66), a decrease in Glasgow Coma Score (OR1.21,95% CI1.03^1.43) and an increase in ...

BACKGROUND AND PURPOSE Dysphagia after intracerebral hemorrhage (ICH) contributes significantly to morbidity, often necessitating placement of a percutaneous endoscopic gastrostomy (PEG) tube. This study describes a novel risk prediction score for PEG placement after ICH. METHODS We retrospectively analyzed data from 234 patients with ICH presenting during a 4-year period. One hundred eighty-...

INTRODUCTION Better prognostic classification of patients who are severely injured or in critical condition has been associated with reduced case fatality from traumatic brain injury. OBJECTIVE Determine the value of admission results (clinical, laboratory and imaging) and severity scales, for predicting mortality in traumatic brain injury patients. METHODS A cross-sectional study of trauma...