Predictors of Jeremitsky et al for Poor Outcome Following Traumatic Brain Injury

Description

Jeremitsky et al identified factors predicting outcome in adults with blunt brain injury. These can help to identify patients who may benefit from more aggressive management. The authors are from Allegheny General Hospital in Pittsburgh and St. Elizabeth Health Center in Youngstown.

Patient selection: severe blunt traumatic brain injury (GCS <=8 ) in patients > 12 years old

Time frame for evaluation: first 24 hours after admission

Factors associated with increased mortality:

(1) hypotension (mean arterial pressure or MAP < 70 mm Hg)

(2) unintentional hypothermia (core body temperature < 35°C)

(3) high AIS (Abbreviated Injury Scale) score for head

where:

• The risk for each AIS level was not found in the text.

Additional factors associated with an increased mortality:

(1) age >= 45 years in hypothermic patients (Table 6).

(2) hyperglycemia (blood glucose > 200 mg/dL)

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Description

Specialty

ICD-10