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KMID : 0390119940340010201
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Journal of Pusan Medical College
1994 Volume.34 No. 1 p.201 ~ p.206
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Statistical Prediction of the Outcome in Severe Brain Contusion
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Abstract
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Brain contusion is the most frequently encountered lesion after head injury. In most cases, grave outcome may be predictive due to an effect of the direct cerebral injury. Two hundred ninty eight cases with brain contusion in severe head injury
(GCS≤8
and age≥20) are described. Age, GCS score, pupillary light reflex, motor response to stimuli and oblitrated degree of ambient cistern in CT scan are summarized, the probability index of each factor is calculated. Mortality is closely related to
the
patient's age, level of consciousness, severeity of impaired pupillary light relfex, motor response to stimuli, oblitrated degree of ambient cistern on CT scan (p<0.01). The mortality rate is 55%, and survial rate 45% among all factors.
Probability
index is very useful for early prediction of the comination outcome in severe head-injured patients with variable clinical manifestations.
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