Abstract
Traumatic brain injury (TBI) affects over 400,000 people each year in the United States (Kalsbeck, McLaurin et al., 1980). Mortality following severe TBI varies between 30% and 60% (Bartkowski & Lovely, 1986). One multicenter study of TBI in an adult population identified 51% mortality with 36% having good recovery or moderate disability and 13% having severe disability or being in a vegetative state (Jennett, Teasdale et al., 1987). In children and adolescents, there was a 33% mortality, 51% of the patients had a good outcome or moderate disability and 16% were severely disabled or were in a vegetative state (Berger, Pitts, & Lovely, 1985). The Medical College of Virginia, demonstrating the value of intensive management, found 30% mortality with 60% good outcome/moderate disability, 8% severe disability, and 2% persistent vegetative state (Becker, Miller et al., 1977). A study of pediatric head injury from the same institution reported 24% mortality, 68% good outcome/moderate disability, 6% severe disability, and 2% persistent vegetative state (Ward & Alberico, 1987). Thus, although good outcome or moderate disability varies widely depending on age and level of care, the incidence of severe disability/vegetative state is relatively constant despite age or type of care. Approximately 40,000 patients will have poor outcome annually with 32,000 being severely disabled and 8000 remaining in a vegetative state.
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© 1992 Springer Science+Business Media New York
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Taylor, D.A. (1992). Traumatic Brain Injury. In: Long, C.J., Ross, L.K. (eds) Handbook of Head Trauma. Critical Issues in Neuropsychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0706-6_17
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DOI: https://doi.org/10.1007/978-1-4899-0706-6_17
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