Improvement in GOS and GOSE scores 6 and 12 months after severe traumatic brain injury

Corral, Luisa; Ventura, Josep L.; Herrero, J.I.; Monfort, J. L.; Juncadella, Montserrat; Gabarrós, Andreu; Bartolomé, Carlos; Javierre, Casimiro; García-Huete, Lucía

doi:10.1080/02699050701727460

Cited by 51 publications

(44 citation statements)

References 30 publications

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“…[1,14] Recovery of neurological patients is usually long, and TBI patients can gradually improve even after several months. [15] Early intensive rehabilitation may improve the functional outcome of patients with TBI in the early months after injury and hence increase the chance of their returning to work early. [16,17] Only 4.9% of patients hospitalized due to TBI had hospital neurorehabilitation, 68% within one month after injury.…”

Section: Resultsmentioning

confidence: 99%

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Outcome predictors of Glasgow Outcome Scale score in patients with severe traumatic brain injury

Klemenc–Ketiš¹,

Bacovnik-Jansa²,

Ogorevc³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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Section: Resultsmentioning

confidence: 99%

“…7), showing that patients with hypovolemia or other causes of low systolic systemic blood pressure have worse outcomes, which was also shown in other studies. [15,17] On the other hand, lower values of diastolic blood pressure (below 65 mmHg) improved…”

Section: Discussionmentioning

confidence: 99%

Outcome predictors of Glasgow Outcome Scale score in patients with severe traumatic brain injury

Klemenc–Ketiš¹,

Bacovnik-Jansa²,

Ogorevc³

et al. 2011

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

“…Complaints present at 1-year examination usually persist until 3-year examinations and some authors postulate permanence [7,91]. Other long term studies indicate an improvement as employment rates increase during the post-3-year interval [88].…”

Section: Outcomementioning

confidence: 99%

“…In case of surgical craniotomy, a considerable decrease of intracerebral pressure has been reported [87,88]. Nevertheless, the potential risks of significant complications like infection, hygroma, oedema, haemorrhage and hydrocephalus [56] imply surgical treatment of intracranial hypertension in absence of mass lesions as last resort [59].…”

Section: Therapeutic Optionsmentioning

confidence: 99%

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Current Opinions on Epidemiology, Treatment and Outcome After Traumatic Brain Injury

Florian¹

2012

J Trauma Treat

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Traumatic Brain InjuryTraumatic Brain Injury (TBI) continues to be the major cause of disability and death throughout the world despite improvements of research and medical treatment [1]. Consequently, an overview on the current incidence of TBI as well as current treatment options and outcome seems considerably relevant.With 332 Traumatic Brain Injuries per 100,000 inhabitants in Germany every year [2], TBI is still the leading cause of mortality and morbidity worldwide [3] resulting in prolonged rehabilitation and long-term care [4]. In multiple traumatized patients, head injuries are evaluated as the most frequent injury, followed by lower and upper extremity trauma [5]. Examining current data, two major gender-and age-related incidences of TBI can be found: one occurs in the late teens to twenties [6] commonly due to motor vehicle accidents [4] with males being three times as often affected compared to females [7]. The second major incidence occurs in the geriatric population caused by falls due to geriatric co-morbidities [6]. While mortality decreased during the last decades based on medical improvements, the World Health Organization (WHO) predicts that TBI will be the third greatest cause of disease and injury by 2020 [8].Typical symptoms of TBI represent headache, nausea and vomiting, dizziness, blurred vision, paresis, aphasia, seizures and impaired coordination on the physical side [9]. Cognitive impairments include attention, memory and concentration disorders or decreased processing speed whereas behavioural symptoms present as depression, anxiety, agitation or aggression [9]. While these symptoms are present in different injury severities to some extent, most are described to resolve quickly especially after mild TBI [9]. Nevertheless, symptoms can still persist for months or even years regardless of the injury severity of TBI [10,11]. AbstractObjective: The objective of this article is to provide an overview on current incidences of traumatic brain injury (TBI) with special focus on current surgical and non-surgical treatment options as well as outcome.Method: A Medline database search was performed using various combinations of the search terms "traumatic brain injury", "TBI", "treatment", "outcome" "pediatric", "intracranial hypertension", "epidemiology" and "incidence". Results:We found an incidence of TBI of 332/100,000 inhabitants in Germany per year and 219-345/100,000 TBI occurring in children. TBI is still the leading cause of mortality and morbidity worldwide. The overall mortality after TBI is described with 1%.Typical symptoms of TBI represent headache, nausea and vomiting, dizziness, blurred vision, paresis, aphasia, seizures and impaired coordination on the physical side. Cognitive impairments include attention, memory and concentration disorders or decreased processing speed whereas behavioural symptoms present as depression, anxiety, agitation or aggression. Persistence of these symptoms results in a vicious cycle of impaired skill acquisition and an adaptive deficit with increased ...

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Temporal changes in outcome following intensive care unit treatment after traumatic brain injury: a 17-year experience in a large academic neurosurgical centre

et al. 2018

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Improvement in GOS and GOSE scores 6 and 12 months after severe traumatic brain injury

Abstract: GOS scores improved between 6-12 months after severe TBI in 36% of survivors and it is concluded that the expectancy of improvement is incomplete at 6 months. This improvement was greater in patients with better GCS scores (6-8) at admission than in those with worse GCS scores (3-5).

Cited by 51 publications

References 30 publications

Outcome predictors of Glasgow Outcome Scale score in patients with severe traumatic brain injury

Outcome predictors of Glasgow Outcome Scale score in patients with severe traumatic brain injury

Current Opinions on Epidemiology, Treatment and Outcome After Traumatic Brain Injury

Temporal changes in outcome following intensive care unit treatment after traumatic brain injury: a 17-year experience in a large academic neurosurgical centre

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