title: Retrospective Analysis of Prognostic Factors of Severe Traumatic Brain Injury in a University Hospital in Turkey.
abstract: OBJECTIVE
  To examine the use of prognostic factors such as age, Glasgow Coma Scale (GCS) score, pupil reactivity and computerized tomography (CT) findings for predicting the prognosis of severe traumatic brain injury (TBI) patients in Turkey.
  
  
  METHODS
  We retrospectively evaluated TBI patients who were accepted to Akdeniz University Intensive Care Unit between 1 January 2007 and 31 December 2009. Patient data were collected from the hospital information system. Marshall CT classification was performed and CT findings were noted. The Glasgow outcome scale (GOS) score of patients was calculated according to their 6-months follow up.
  
  
  RESULTS
  A total of 101 patients with severe TBI were studied. The mean age of the patients was 34.7 ± 14.1 years. Of these, male patients (81.2%) were dominant and road accidents (83.2%) were the most common mechanism of TBI development. In addition, poor neurological outcome was detected in 58.4% of the patients and 29 patients (28.7%) died. The mechanism of injury (p = 0.34), gender (p = 0.64) or age (p = 0.34) did not lead to a difference in neurologic outcomes while the GCS score (p = 0.01), pupillary reactivity (p = 0.000), Marshall CT classification (p = 0.01) and the presence of traumatic subarachnoid haemorrhage (p = 0.04) affected the GOS scores.
  
  
  CONCLUSIONS
  In our study, GCS score, CT findings and pupil reactivity were prominent as prognostic factors, but a relationship between age and prognosis was not observed.
authors.affiliation: Akdeniz University, School of Medicine, Department of Anaesthesiology and Reanimation, Antalya, Turkey.
authors.forename: Erhan
authors.initials: E
authors.lastname: Ozyurt
authors.forename: Ethem
authors.initials: E
authors.lastname: Goksu
authors.forename: Melike
authors.initials: M
authors.lastname: Cengiz
authors.forename: Murat
authors.initials: M
authors.lastname: Yilmaz
authors.forename: Atilla
authors.initials: A
authors.lastname: Ramazanoglu
mesh_terms: D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D015600:Glasgow Coma Scale; D023261:Glasgow Outcome Scale; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D020127:Recovery of Function; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014421:Turkey