ICP in the Elderly Head Injury Population
In 1979, Jennett et al. reported that age and Glasgow Coma Score (GCS) independently influence outcome of head injured patients. Pitts et al. (1980) reported a linear relationship between ICP measured between 6–24 hours after severe head injury and outcome. Teasdale (1986) suggests that ICP measurement is useful in all patients with mass lesions, occult hematoma, postoperative swelling and in patients with a normal CT scan and any of the following risk factors: an abnormal motor response, hypotension, or over 40 years old. Although age was not reported, Seelig et al. (1986) found that patients with an ICP≥30 torr within 72 hours of head injury and were also hypotensive (systolic BP≤90 mm Hg) had a mortality rate of 79%. Luerssen et al. (1988) reported that an increasing mortality rate in head injury patients correlated with age in the adult population and with severity of admission GCS. ICP monitoring in head injured patients has been studied extensively, but little specific information is available concerning ICP monitoring in the elderly. This study was done to explore the relationship of ICP to outcome in the elderly head injured population
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- Pitts LH, Kaktis JV, Juster R, Heilbron D (1980) ICP and outcome in patients with severe head injury. In: Shulman K, Marmarou A, Miller JD, Becker DP, Hockwald GM, Brock M (eds) Intracranial pressure IV. Springer, Berlin Heidelberg New YorkGoogle Scholar
- Seelig JM, Klauber MR, Toole BM, Bowers-Marshall S (1986) Increased ICP and systemic hypotension during the first 72 hours following severe head injury. In: Miller JD, Teasdale GM, Rowan JO, Galbraith SL, Mendelow AD (eds) Intracranial pressure VI. Springer, Berlin Heidelberg New York TokyoGoogle Scholar
- Teasdale GM, Mendelow AD, Galbraith S (1986) Causes and consequences of raised intracranial pressure in head injuries. In: Miller JD, Teasdale GM, Rowan JO, Galbraith SL, Mendelow AD (eds) Intracranial pressure VI. Springer, Berlin Heidelberg New York Tokyo.Google Scholar