ICP in the Elderly Head Injury Population

  • A. M. Ross
  • S. Kobayashi
  • L. H. Pitts
Conference paper

Abstract

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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References

  1. Jennett B, Teasdale GM, Braakman R, Minderhoud J, Heiden J, Kurze T (1979) Prognosis of patients with severe head injury. Neurosurgery 4(4):283–289PubMedCrossRefGoogle Scholar
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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • A. M. Ross
    • 1
  • S. Kobayashi
    • 1
  • L. H. Pitts
    • 1
  1. 1.Department of NeurosurgeryUniversity of CaliforniaSan FranciscoUSA

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