Andrews et al developed a number of decision trees to determine the outcome following traumatic brain injury. These can help identify patients who may benefit from more aggressive management. The authors are from the University of Edinburgh and the University of Aberdeen in Scotland.
Patient selection: age >= 16 years with traumatic brain injury
|
Outcome |
Glasgow Outcome Score (GOS) |
|
good |
4 or 5 |
|
bad |
1, 2 or 3 |
Parameters:
(1) number of pupils reactive to light
(2) age of the patient in years
(3) grade of head injury (minor, moderate or severe)
(4) road accident
(5) Glasgow coma score (GCS)
|
Reactive Pupils |
Age |
Grade Injury |
Road Accident |
GCS |
End Node |
|
2 |
<= 52 |
|
|
|
A/good |
|
2 |
> 52 |
minor |
|
|
B/good |
|
2 |
> 52 |
moderate or severe |
|
|
C/bad |
|
0 or 1 |
<= 54 |
|
N |
|
D/good |
|
0 or 1 |
> 54 |
|
N |
|
E/bad |
|
1 |
|
|
Y |
> 5 |
F/good |
|
1 |
|
|
Y |
<= 5 |
G/bad |
|
0 |
|
|
Y |
|
H/bad |
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general, Otolaryngology
ICD-10: ,
