87. Predicting Recovery in Patients with Severely Impaired Consciousness After Traumatic Brain Injury (TBI): A Multicenter Study John Whyte, MD, PhD (Philadelphia, Pennsylvania), Madeline C. DiPasquale, PhD (Philadelphia, Pennsylvania), Douglas I. Katz, MD, Carol Moheban, MD (Bramtree, Massachusetts) Nancy Childs, MD, Walter Mercer, PhD (Austin, Texas), Daniel J. Keating, PhD, David Long, MD, Barbara Journey Merges, RN (Malvern, Pennsylvania), Joseph T. Giacino, PhD, Kathleen Kalmar, PhD (Edison, New Jersey), Paul Novak, MS, OTR, Susan Van Wie, CRRN (Schenectady, New York

1999 ◽  
Vol 13 (1) ◽  
pp. 44-45
2006 ◽  
Vol 87 (12) ◽  
pp. 1576-1582 ◽  
Author(s):  
William C. Walker ◽  
Jennifer H. Marwitz ◽  
Jeffrey S. Kreutzer ◽  
Tessa Hart ◽  
Thomas A. Novack

Epilepsia ◽  
2018 ◽  
Vol 59 (10) ◽  
pp. 1945-1953 ◽  
Author(s):  
Martin Salinsky ◽  
Paul Rutecki ◽  
Karen Parko ◽  
Elizabeth Goy ◽  
Daniel Storzbach ◽  
...  

1985 ◽  
Vol 66 (6) ◽  
pp. 401-403
Author(s):  
E. K. Valeev ◽  
A. L. Kirillov ◽  
S. M. Valeeva ◽  
L. M. Lisitsyna

Impairment of consciousness is one of the essential signs of traumatic brain injury.


Brain Injury ◽  
2020 ◽  
Vol 34 (4) ◽  
pp. 556-566 ◽  
Author(s):  
Erica Sercy ◽  
Alessandro Orlando ◽  
Matthew Carrick ◽  
Mark Lieser ◽  
Robert Madayag ◽  
...  

2019 ◽  
Vol 8 (4) ◽  
pp. 470 ◽  
Author(s):  
Caroline Choffat ◽  
Cecile Delhumeau ◽  
Nicolas Fournier ◽  
Patrick Schoettker

Secondary injuries are associated with bad outcomes in the case of severe traumatic brain injury (sTBI). Patients with a Glasgow Coma Scale (GCS) < 9 should undergo pre-hospital intubation (PHI). There is controversy about whether PHI is beneficial. The aim of this study was to estimate the effect of PHI in patients after sTBI. A multicenter, prospective cohort study was performed in Switzerland, including 832 adults with sTBI. Outcomes were death and impaired consciousness at 14 days. Associations between risk factors and outcomes were assessed with univariate and multivariate Cox models for survival, and univariate and multivariate regression models for impaired consciousness. Potential risk factors were age, GCS on scene, pupil reaction, Injury Severity Score (ISS), PHI, oxygen administration, and type of admission to trauma center. Age, GCS on scene < 9, abnormal pupil reaction and ISS ≥ 25 were associated with mortality. GCS < 9 and ISS ≥ 25 were correlated with impaired consciousness. PHI was overall not associated with short-term mortality and consciousness. However, there was a significative interaction with PHI and major trauma. PHI improves outcome from patients with sTBI and an ISS ≥ 25.


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