[Use of a point-scale assessment of patient status in the surgical treatment of craniocerebral injuries].
The indications and contraindications for surgical treatment in craniocerebral trauma (CCT) were based on estimation of the patient's condition in marks; the dynamics of changes of the results of the estimation in the pre- and postoperative periods were studied. A total of 375 patients with CCT were examined in different medical institutions according to a unified method. Neurosurgical interventions were carried out on 155 patients. All patients who underwent operation when their condition was rated below 15 marks died on the immediate postoperative days, whatever their age and whatever the time of the operation after the trauma. The probability of a favourable outcome increased to 40% in a condition rated 21-30 marks on the day of the operation and reached 69% when it was above 30 marks.
D000367:Age Factors; D001930:Brain Injuries / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D003244:Consciousness Disorders / Q000175:diagnosis; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D009460:Neurologic Examination / Q000379:methods*; D011184:Postoperative Period; D011379:Prognosis; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D014950:Wounds, Penetrating / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery
Ispol'zovanie ball'noĭ otsenki sostoianiia bol'nykh pri khirurgicheskom lechenii cherepno-mozgovoĭ travmy.