Hans P, Albert A, Born J D
Br J Hosp Med. 1987 Jun;37(6):535, 538-40.
Outcome prediction after severe head injury remains an important issue. We investigated this problem by recording seven risk factors in 40 patients with severe head injury. By applying multivariate statistical analysis to the patients' data we selected the factors of prognostic significance: degree of initial neurological damage, severely raised intracranial pressure, and age. We compared clinical and biochemical parameters for evaluating the severity of brain lesion and proposed various simple prognostic indices allowing for correct prediction in more than 85% of patients.
重型颅脑损伤后的预后预测仍然是一个重要问题。我们通过记录40例重型颅脑损伤患者的7个危险因素来研究这个问题。通过对患者数据进行多变量统计分析,我们选择了具有预后意义的因素:初始神经损伤程度、颅内压严重升高和年龄。我们比较了评估脑损伤严重程度的临床和生化参数,并提出了各种简单的预后指标,可在超过85%的患者中进行正确预测。