Marshall L F, Becker D P, Bowers S A, Cayard C, Eisenberg H, Gross C R, Grossman R G, Jane J A, Kunitz S C, Rimel R, Tabaddor K, Warren J
J Neurosurg. 1983 Aug;59(2):276-84. doi: 10.3171/jns.1983.59.2.0276.
This paper describes the pilot phase of the National Traumatic Coma Data Bank, a cooperative effort of six clinical head-injury centers in the United States. Data were collected on 581 hospitalized patients with severe non-penetrating traumatic head injury. Severe head injury was defined on the basis of a Glasgow Coma Scale (GCS) score of 8 or less following nonsurgical resuscitation or deterioration to a GCS score of 8 or less within 48 hours after head injury. A common data collection protocol, definitions, and data collection instruments were developed and put into use by all centers commencing in June, 1979. Extensive information was collected on pre-hospital, emergency room, intensive care, and recovery phases of patient care. Data were obtained on all patients from the time of injury until the end of the pilot study. The pilot phase of the Data Bank provides data germane to questions of interest to neurosurgeons and to the lay public. Questions are as diverse as: what is the prognosis of severe brain injury; what is the impact of emergency care; and what is the role of rehabilitation in the recovery of the severely head-injured patient?
本文介绍了美国六个临床颅脑损伤中心合作开展的国家创伤性昏迷数据库的试点阶段。收集了581例住院的重度非穿透性创伤性颅脑损伤患者的数据。重度颅脑损伤的定义是：非手术复苏后格拉斯哥昏迷量表（GCS）评分为8分或更低，或颅脑损伤后48小时内GCS评分降至8分或更低。1979年6月起，所有中心制定并使用了通用的数据收集方案、定义和数据收集工具。收集了关于患者院前、急诊室、重症监护和康复阶段的广泛信息。从受伤时起直至试点研究结束，获取了所有患者的数据。该数据库的试点阶段提供了与神经外科医生和普通公众感兴趣的问题相关的数据。这些问题多种多样，例如：重度脑损伤的预后如何；急诊护理的影响是什么；康复在重度颅脑损伤患者康复中的作用是什么？
