Berardino et al identified a number of factors associated with complications for a brain-injured patient discharged from the Intensive Care Unit (ICU). The authors are from San Giovanni Battista Hospital, University of Turin and C.T.O. Hospital in Turin, Italy.


Patient selection: traumatic or vascular brain injury in patients 15 to 75 years, without spinal cord injury


Factors associated with complications:

(1) age > 50 years of age

(2) SAPS II score >= 50 (based on the first 24 hours of ICU admission)

(3) Glasgow coma score <= 5 (after suspension of sedation)



• The choice of cutoffs (50, 50, 5) should help recall.


A patient with none of the risk factors had the lowest rate of complications after discharge from the ICU. A patient with all 3 factors was at the highest risk for complications.


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