On hundred-and sixty two patients with traumatic brain injury (TBI) were evaluated for associated injuries and medical problems.
1) Associated injuries in the TBI were as follows: facial bone fractures were 24.7%, limb fractures 15.4%, rib fractures 10.5%, vertebral fractures 6.8%, visceral injuries 3.1%, and genitourinary injuries 1.9%.
2) Medical problems in the TBI were noted: neurogenic (32.1%), gastrointestinal (25.3%), respiratory (21.0%), musculoskeletal (21.0%), genitourinary (17.3) and cardiovascular (3.7%) problems were encountered frequently.
3) The case were that Glasgow Coma Scale (GCS) score was 60.4%, 9~12 was 13% and 3~8 Was 26.5%. There were a significant difference of the mean hospital days among three groups as each 42.6 days, 106.8 days and 291.2 days (p<0.05).
4) The mean hopital days was 28.6 days accompanying of complication when the group having GCS score's 13-15, 28.6 days when no complication 173.6 days accompanying of accompanying of complication when the score of group having 3~8,223.3 days
when
no
complication. But it showed significant difference on the group that score was 9~12 dependent on existence of complication (p<0.05).
5) It showed a good recovery at 93.8% of group that GCS score's 13~15 and a death at 39.5% of group that 3~8 score. The group which had the higher GCS score will have the better prognosis.
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