End Points of Traumatic Brain Injury Resuscitation
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  • 作者:Hadley K. H. Wesson ; Rahul Anand ; Paula Ferrada
  • 关键词:Traumatic brain injury (TBI) ; Prognosis ; Outcome ; IMPACT ; CRASH
  • 刊名:Current Trauma Reports
  • 出版年:2015
  • 出版时间:September 2015
  • 年:2015
  • 卷:1
  • 期:3
  • 页码:147-154
  • 全文大小:283KB
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  • 作者单位:Hadley K. H. Wesson (1)
    Rahul Anand (2)
    Paula Ferrada (2)

    1. Department of General Surgery, Virginia Commonwealth University Medical Center, Richmond, VA, 23225, USA
    2. Division of Acute Care Surgical Services, Department of General Surgery, Virginia Commonwealth University Medical Center, Richmond, VA, 23298, USA
  • 刊物类别:Traumatic Surgery; Surgery; Emergency Medicine; Intensive / Critical Care Medicine; Rehabilitation;
  • 刊物主题:Traumatic Surgery; Surgery; Emergency Medicine; Intensive / Critical Care Medicine; Rehabilitation;
  • 出版者:Springer International Publishing
  • ISSN:2198-6096
文摘
Severe traumatic brain injury (TBI) is an insult severe enough to cause an acute and persistent loss of consciousness with a significant risk of death or disability. Worldwide, it is a leading cause of death, especially for younger people less than 50 years of age. Over the last two decades, we have made significant progress in our understanding of the pathophysiology of TBI. This however has not resulted in substantial improvements in outcome, as the incidence of TBI continues to increase and mortality rates remain relatively unchanged. To better understand the long-term outcome and end points in TBI resuscitation, tools to predict a patient鈥檚 prognosis becomes essential. In this review, we discuss the role of clinical assessment, as such the Glasgow Coma Scale and the Full Outline of UnResponsiveness Score, neuroimaging, including computed tomography (CT) and MRI, and current research innovations, such as the biomarkers, to predict TBI outcomes. Additionally, we describe the clinical implications of using prognostic models, such as the International Mission on Prognosis and Analysis of Clinical Trials in TBI (IMPACT) database models and the Corticosteroid Randomization after Significant Head Injury (CRASH) trial data models to calculate TBI outcome. Keywords Traumatic brain injury (TBI) Prognosis Outcome IMPACT CRASH

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