Background and Purpose: The aim of this study was to determine the 30-day mortality and morbidity of intracerebral hemorrhage in a large metropolitan population and to determine the most important predictors of 30-day outcome. Methods: We reviewed the medical records and computed tomographic films for all cases of spontaneous intracerebral hemorrhage in Greater Cincinnati during 1988. Independe...

and did not result in a clarifying change of name. No evidence has been published that the continued use of the 14 point scale may have caused harm to any patient. The practice does, however, lead to difficulties. Staff from one hospital told us about their recurrent problems communicating with the local neurosurgical unit because the two were using different scales. In another trust, the neuro...

BACKGROUND How to effectively use the finite resources of an intensive care unit (ICU) for neurosurgical patients is a critical decision-making process. Mortality prediction models are effective tools for allocating facilities. This study intended to distinguish the prediction power of the Acute Physiology and Chronic Health Evaluation II (APACHE II), the Simplified Acute Physiology Score II (S...

OBJECTIVE To assess the theoretical and practical knowledge of the Glasgow Coma Scale (GCS) by trained Air-rescue physicians in Switzerland. METHODS Prospective anonymous observational study with a specially designed questionnaire. General knowledge of the GCS and its use in a clinical case were assessed. RESULTS From 130 questionnaires send out, 103 were returned (response rate of 79.2%) a...

BACKGROUND Glasgow Coma Scale (GCS) is considered as a gold standard in estimating the prognosis of the comatose patient. The management of the patient relies heavily on this scale. The mechanism of injury must also be included in scoring of the GCS. Survival from strangulation is uncommon, and if it occurs, it is often associated with various complications such as neurological consequences. ...

OBJECTIVE To document the frequency, clinical correlates and predictors of symptomatic upper limb spasticity in patients one year or more after stroke. DESIGN Cross-sectional study. SUBJECTS A total of 140 patients after stroke attending a rehabilitation clinic. METHODS Assessments of spasticity, upper limb function and self-care ability using the Ashworth Scale (AS), Motor Assessment Sca...

Since 1974, the Glasgow Coma Scale has provided a practical method for bedside assessment of impairment of conscious level, the clinical hallmark of acute brain injury. The scale was designed to be easy to use in clinical practice in general and specialist units and to replace previous ill-defined and inconsistent methods. 40 years later, the Glasgow Coma Scale has become an integral part of cl...

BACKGROUND Geriatric trauma patients have a worse outcome than the young with comparable injuries. The contribution of traumatic brain injury (TBI) to this increased mortality is unknown and has been confounded by the presence of other injuries. The purpose of this study was to investigate the role of age in the mortality and early outcome from isolated TBI. METHODS This was a retrospective a...