VALIDATION OF A RELATIVE HEAD INJURY SEVERITY SCALE FOR STRATIFICATION OF TRAUMATIC HEAD INJURY IN PEDIATRIC TRAUMA

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.)

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Assessment of bicycle–car accidents under four different types of collision

Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine ◽

10.1177/0954411917690417 ◽

2017 ◽

Vol 231 (3) ◽

pp. 222-234 ◽

Cited By ~ 5

Author(s):

Laurencas Raslavičius ◽

Liudas Bazaras ◽

Artūras Keršys ◽

Vaidas Lukoševičius ◽

Rolandas Makaras ◽

...

Keyword(s):

Head Injury ◽

Injury Severity ◽

Tensile Force ◽

Traumatic Head Injury ◽

Left Turn ◽

Leg Injuries ◽

Head Injury Criterion ◽

Car Accidents ◽

Severity Prediction ◽

Traumatic Head

Bicycle riders are among the highest risk group in traffic. A cyclist simulation study captured kinematics and injuries to legs, pelvis, neck, and head for one human body size. We analyzed the number of parameters (forces acting on left and right tibia, head injury criterion, neck tensile force, neck shear force, and pelvic acceleration) for each of the four different cases: bicyclist ride out—residential driveway, motorist overtaking—undetected bicyclist, bicyclist left turn—same direction, and bicyclist right turn—opposite direction. The comparison of simulation outcomes for leg injuries with official hospital records has shown a very good correlation in terms of injury severity prediction. This study concludes that if countermeasures to prevent fatal cyclist injury in car impacts were to be concentrated on mitigating head and neck impact to the windscreen of the car, a dominant share of fatal cyclist crashes and severe traumatic head injury cases at collision speeds exceeding 40 km/h could be prevented.

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The Head Injury Severity Scale (HISS): A practical classification of closed-head injury

Brain Injury ◽

10.3109/02699059509008203 ◽

1995 ◽

Vol 9 (5) ◽

pp. 437-444 ◽

Cited By ~ 82

Author(s):

Sherman C. Stein ◽

Claire Spettell

Keyword(s):

Head Injury ◽

Injury Severity ◽

Closed Head Injury ◽

Severity Scale ◽

Closed Head ◽

Head Injury Severity

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Sensitivity of the WISC-III to Injury Severity in Children With Traumatic Head Injury

Assessment ◽

10.1177/107319119700400114 ◽

1997 ◽

Vol 4 (1) ◽

pp. 107-109 ◽

Cited By ~ 15

Author(s):

Jacques Donders

Keyword(s):

Head Injury ◽

Processing Speed ◽

Injury Severity ◽

Traumatic Head Injury ◽

Intelligence Scale ◽

Adequate Measure ◽

Traumatic Head ◽

Factor Index ◽

Freedom From Distractibility ◽

Measure Of Performance

The criterion validity of the factor index scores of the third edition of the Wechsler Intelligence Scale for Children (WISC-III) was evaluated in a sample of 88 children with traumatic head injury. (THI). Only Perceptual Organization and Processing Speed scores demonstrated acceptable sensitivity to injury severity. It is concluded that Processing Speed is an adequate measure of performance efficiency, but that Freedom from Distractibility may not be an adequate measure of attention in children with THI.

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