Title: Related analysis between craniocerebral injury CT signs and patient's traumatic condition and prognosis
Abstract: Objective To investigate the association between computerized tomography(CT) scanning signs and patients' traumatic condition and prognosis,so as to provide an objective assessment of the structural damage to the brain following traumatic brain injury(TBI).Methods Data of patients with traumatic intracerebral haematomas from Jan.2008 to Nov.2010 were collected,including age,gender,post-resuscitation GCS,bilateral intracerebral haematomas,location of the intracerebral haematomas,GCS motor score,presence of subarachnoid hemorrhage,status of basal cistern,midline shift and GOS after 6 months.The data were statistically analyzed so as to evaluate the relationship between craniocerebral injury CT signs and patients' traumatic condition and prognosis.Results There were 95 patients with mean age of 50.2±18.7 years.The median Glasgow Coma Scale(GCS) on admission was 10.From the in-hospital mortality,the mortality of elders was higher than youths(20% vs.2%).There was an association between age and inpatient mortality(P=0.006).The GCS motor score of in-hospital non-survived patients was 1.4±0.7,while 3.9±1.4 for survived patients,indicating statistical significance(P=0.001).Additionally,there was a higher rate of subdural haematoma,bilateral intracerebral haematomas,temporal intracerebral haematoma,subarachnoid hemorrhage in in-hospital non-survived patients than the survived patients on discharge.Logistic regression analysis showed that there was an association between temporal intracerebral haematoma and inpatient mortality(P=0.034).But the association between subdural hematoma and inpatient mortality was not obvious(P=0.054).The CT indirect sign indicated an association in the status of basal cistern and middle shift between the two groups(P0.001).The GOS after 6 months showed a higher rate of bilateral intracerebral haematomas,subarachnoid hemorrhage,subdural haematoma,temporal intracerebral haematoma in the patients with bad prognosis,while there was statistical significance in temporal intracerebral haematoma and subarachnoid hemorrhage between the two groups(P=0.043,P=0.027).Conclusion CT is a firstly-chosen method in judging the presence and severity of intra-cranial injury.Bilateral intracerebral haematomas,subarachnoid hemorrhage,subdural haematoma,temporal intracerebral haematoma are meaningful in predicating patients' mortality and prognosis,which can provide reference for clinical treatment and recovery.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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