A Novel Approach to Assessing Head Injury Severity in Pediatric Patient Falls

2018 ◽  
Vol 32 (2) ◽  
pp. e59-e66
Author(s):  
Janet S. Dufek ◽  
Nancy A. Ryan-Wenger ◽  
Jeffrey D. Eggleston ◽  
Kyle C. Mefferd
Keyword(s):  
Head Injury ◽  
Pediatric Patient ◽  
Injury Severity ◽  
Patient Falls ◽  
Novel Approach ◽  
Head Injury Severity

Miller was (mostly) right: Head injury severity inversely related to simulation

2006 ◽  
Vol 11 (1) ◽  
pp. 131-145 ◽  
Author(s):  
Manfred F. Greiffenstein ◽  
W. John Baker
Keyword(s):  
Head Injury ◽  
Injury Severity ◽  
Head Injury Severity

The impact of blood ethanol concentration on the classification of head injury severity in traumatic brain injury

Brain Injury ◽  
2015 ◽  
Vol 29 (13-14) ◽  
pp. 1648-1653 ◽  
Author(s):  
Pål Rønning ◽  
Per Ole Gunstad ◽  
Nils-Oddvar Skaga ◽  
Iver Arne Langmoen ◽  
Knut Stavem ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Head Injury ◽  
Injury Severity ◽  
Ethanol Concentration ◽  
Blood Ethanol Concentration ◽  
The Impact ◽  
Head Injury Severity

scholarly journals Traumatic brain injury—the effects of patient age on treatment intensity and mortality

BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ola Skaansar ◽  
Cathrine Tverdal ◽  
Pål Andre Rønning ◽  
Karoline Skogen ◽  
Tor Brommeland ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Head Injury ◽  
Injury Severity ◽  
Age Groups ◽  
Composite Score ◽  
Increased Risk ◽  
Management Intensity ◽  
Treatment Bias ◽  
Head Injury Severity

Abstract Background Ageing is associated with worse treatment outcome after traumatic brain injury (TBI). This association may lead to a self-fulfilling prophecy that affects treatment efficacy. The aim of the current study was to evaluate the role of treatment bias in patient outcomes by studying the intensity of diagnostic procedures, treatment, and overall 30-day mortality in different age groups of patients with TBI. Methods Included in this study was consecutively admitted patients with TBI, aged ≥ 15 years, with a cerebral CT showing intracranial signs of trauma, during the time-period between 2015–2018. Data were extracted from our prospective quality control registry for admitted TBI patients. As a measure of management intensity in different age groups, we made a composite score, where placement of intracranial pressure monitor, ventilator treatment, and evacuation of intracranial mass lesion each gave one point. Uni- and multivariate survival analyses were performed using logistic multinomial regression. Results A total of 1,571 patients with TBI fulfilled the inclusion criteria. The median age was 58 years (range 15–98), 70% were men, and 39% were ≥ 65 years. Head injury severity was mild in 706 patients (45%), moderate in 437 (28%), and severe in 428 (27%). Increasing age was associated with less management intensity, as measured using the composite score, irrespective of head injury severity. Multivariate analyses showed that the following parameters had a significant association with an increased risk of death within 30 days of trauma: increasing age, severe comorbidities, severe TBI, Rotterdam CT-score ≥ 3, and low management intensity. Conclusion The present study indicates that the management intensity of hospitalised patients with TBI decreased with advanced age and that low management intensity was associated with an increased risk of 30-day mortality. This suggests that the high mortality among elderly TBI patients may have an element of treatment bias and could in the future be limited with a more aggressive management regime.

The impact of posttraumatic seizures on 1-year neuropsychological and psychosocial outcome of head injury

1996 ◽  
Vol 2 (6) ◽  
pp. 494-504 ◽  
Author(s):  
Alan M. Haltiner ◽  
Nancy R. Temkin ◽  
H. Richard Winn ◽  
Sureyya S. Dikmen
Keyword(s):  
Head Injury ◽  
Psychosocial Functioning ◽  
Brain Injuries ◽  
Injury Severity ◽  
Head Injuries ◽  
Psychosocial Outcome ◽  
Traumatic Head Injury ◽  
The Impact ◽  
Head Injury Severity ◽  
Posttraumatic Seizures

AbstractThis study examined the relationship of posttraumatic seizures and head injury severity to neuropsychological performance and psychosocial functioning in 210 adults who were prospectively followed and assessed 1 year after moderate to severe traumatic head injury. Eighteen percent (n = 38) of the patients experienced 1 or more late seizures (i.e., seizures occurring 8 or more days posttrauma) by the time of the 1-year followup. As expected, the head injured patients who experienced late posttraumatic seizures were those with the most severe head injuries, and they were significantly more impaired on the neuropsychological and psychosocial measures compared to those who remained seizure free. However, after the effects of head injury severity were controlled, there were no significant differences in neuropsychological and psychosocial outcome at 1 year as a function of having seizures. These findings suggest that worse outcomes in patients who develop posttraumatic seizures up to 1 year posttrauma largely reflect the effects of the brain injuries that cause seizures, rather than the effect of seizures. (JINS, 1996, 2, 494–504.)

Visual Field Defects in Relation to Head Injury Severity

1988 ◽  
Vol 45 (4) ◽  
pp. 420 ◽  
Author(s):  
Barbara P. Uzzell
Keyword(s):  
Head Injury ◽  
Visual Field ◽  
Injury Severity ◽  
Visual Field Defects ◽  
Head Injury Severity ◽  
Field Defects

The relationship between head injury severity and hemodynamic response to tracheal intubation

2013 ◽  
Vol 74 (4) ◽  
pp. 1074-1080 ◽  
Author(s):  
Zane B. Perkins ◽  
Marc D. Wittenberg ◽  
Daniel Nevin ◽  
David J. Lockey ◽  
Ben O’Brien
Keyword(s):  
Head Injury ◽  
Tracheal Intubation ◽  
Injury Severity ◽  
Hemodynamic Response ◽  
The Relationship ◽  
Head Injury Severity

Relationships between olfactory discrimination and head injury severity

Brain Injury ◽  
2003 ◽  
Vol 17 (6) ◽  
pp. 479-496 ◽  
Author(s):  
Paul Green ◽  
Martin L. Rohling ◽  
Grant L. Iverson ◽  
Roger O. Gervais
Keyword(s):  
Head Injury ◽  
Injury Severity ◽  
Olfactory Discrimination ◽  
Head Injury Severity
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