Glasgow outcome scale at hospital discharge as a prognostic index in patients with severe traumatic brain injury.
OBJECTIVE
Evaluate the Glasgow outcome scale (GOS) at discharge (GOS-HD) as a prognostic indicator in patients with traumatic brain injury (TBI).


METHODS
Retrospective data were collected of 45 patients, with Glasgow coma scale <8, age 25±10 years, 36 men, from medical records. Later, at home visit, two measures were scored: GOS-HD (according to information from family members) and GOS LATE (12 months after TBI).


RESULTS
At discharge, the ERG showed: vegetative state (VS) in 2 (4%), severe disability (SD) in 27 (60%), moderate disability (MD) in 15 (33%) and good recovery (GR) in 1 (2%). After 12 months: death in 5 (11%), VS in 1 (2%), SD in 7 (16%), MD in 9 (20%) and GR in 23 (51%). Variables associated with poor outcome were: worse GOS-HD (p=0.03), neurosurgical procedures (p=0.008) and the kind of brain injury (p=0.009).


CONCLUSIONS
The GOS-HD was indicator of prognosis in patients with severe TBI.
Faculty of Physiotherapy, Pontifical University Catholic of Campinas, Campinas, SP, Brazil. rrosmari@terra.com.br
Rosmari A R A
RA
Oliveira
Sebastião
S
Araújo
Antonio L E
AL
Falcão
Silvia M T P
SM
Soares
Carolina
C
Kosour
Desanka
D
Dragosavac
Eliane A
EA
Cintra
Ana Paula D
AP
Cardoso
Rosana A
RA
Thiesen
D000293:Adolescent; D000328:Adult; D001930:Brain Injuries / Q000175:diagnosis / Q000534:rehabilitation*; D004185:Disability Evaluation; D005260:Female; D023261:Glasgow Outcome Scale / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010351:Patient Discharge / Q000706:statistics & numerical data*; D011379:Prognosis; D011446:Prospective Studies; D020127:Recovery of Function; D012189:Retrospective Studies; D012720:Severity of Illness Index; D055815:Young Adult