Outcome of 2,284 cases with acute traumatic brain injury.
OBJECTIVE
To analyze the prognosis of 2284 cases with acute traumatic brain injury and discuss possible methods to improve the outcome of head injuries.


METHODS
The relationship between trauma cause, trauma severity and management and patient's outcome was retrospectively analyzed.


RESULTS
Good recovery was achieved in 60.20%, moderate disability was 13.22%, severe disability 15.24%, vegetative status 0.31% and mortality 11.03%. The mortality was 1.07% in cases with GCS 15-13, 2.47% in cases with GCS 12-9, 13.29% in cases with GCS 8-6, and 57.4% in cases with GCS 5-3.


CONCLUSIONS
To prevent hypoxia, remove intracranial hematoma as soon as possible, use standard large traumatic craniotomy and apply mild hypothermia may be useful means for improving the outcome of severely head injured patients.
Zhang
J
J
Department of Neurosurgery, Ronggang Hospital, Shenzhen 518116, China.
Jiang
J
J
Zhong
T
T
Yu
M
M
Zhu
C
C
D000208:Acute Disease; D001930:Brain Injuries / Q000145:classification / Q000401:mortality / Q000628:therapy*; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D011379:Prognosis; D012189:Retrospective Studies; D015996:Survival Rate