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KMID : 1143720100060020132
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Korean Journal of Neurotrauma
2010 Volume.6 No. 2 p.132 ~ p.137
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The Effect of Polytrauma on the Follow-Up Neuroimaging and Patients’ Prognosis
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Kim Young-Hoon
Kim Hun-Joo
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Abstract
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Objective:Our point of interest was focused on the relationship between prognosis and radiographic findings in brain computed tomography (CT) and/or magnetic resonance imaging (MRI) from long-term bed-ridden patients due to polytrauma with head injury who had been followed-up for more than 6 months.
Methods:We had reviewed 47 long-term (>6 months) admitted patients due to polytrauma for 8 years. We retrospectively studied patients’ prognosis using clinical parameters such as age, gender, duration of admission, mode of injury, previous medical disease, associated injuries, diffuse axonal injury, space occupying lesion, Glasgow Coma Scale (GCS) score, Glasgow Outcome Scale (GOS) and operative procedures done.
Results:GOS was correlated well with GCS score in polytrauma patients (p<0.001). The operative procedure (decompressive craniectomy) had strong impact on the formation of ventriculomegaly (Evans index≥0.3; p<0.001). The mode of injury also had statistical significance on post-traumatic cerebral infarction (p=0.022).
Conclusion:Our study reveals the effect of polytrauma has significant impact on the follow-up neuroimaging and patients’ prognosis. But further study using larger number of experimental groups is needed for more statistically significant result.
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KEYWORD
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Polytrauma, Head injury, Prognosis, Outcome
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