Prognosis in Cerebral Dysfunction in Patients with Head Trauma
Prevalence estimates for head trauma in the United States range from 2.5 million to 6.5 million individuals living with the consequences of traumatic brain injury (TBI) . These estimates suffer from ascertainment bias, since they are based exclusively on information about hospitalized patients and those who die before hospitalization, while rates of hospitalization for TBI are declining, and care of persons with less-severe TBI is shifting from hospital admission to outpatient services . Situation appears even more catastrophic when considering that road crashes account for most of the injuries, and that car use is rapidly increasing in many countries. It is estimated that by 2020 road crashes will have moved from ninth to third in the world ranking of disease burden .
KeywordsTraumatic Brain Injury Head Trauma Injury Severity Score Intracranial Hypertension Severe Head Injury
Unable to display preview. Download preview PDF.
- 1.Centers for Disease Control and Prevention. National Center for Injury Prevention and Control. Epidemiology of traumatic brain injury in the United States (2000) Atlanta, Ga, USA www.cdc.gov/ncipc/dacrrdp/tbi.htm
- 6.Sackett DL, Richardson SW, Rosenberg W, Haynes BR (eds) (1998) Evidence-based medicine. How to practice and teach EBM. Churchill Livingstone, EdinburghGoogle Scholar
- 10.Allasia F, Cannoni I, Cattelani R, et al (2001) A report of the families’ work group. G Ital Med Riabil 15: 73–78Google Scholar
- 11.Knaus WA, Draper EA, Wagner DP, et al (1984) APACHE II: a severity of disease classification system. Crit Care Med 13: 591–597Google Scholar
- 16.Anonymous (2000) Guidelines for the management of severe head injury. A joint initiative of the Brain Trauma Foundation, the American Association of Neurological Surgeons, the Joint Section on Neurotrauma and Critical Care. Brain Injury Association, Washington, DCGoogle Scholar
- 21.Forsyth R, Baxter P, Elliott T (2001) Routine intracranial pressure monitoring in acute coma (Cochrane Review). In: The Cochrane Library, 3, 2001. Oxford: Update SoftwareGoogle Scholar
- 33.Hastie TJ, Tibshirani RJ (1990) Generalised additive models. Chapman and Hall, LondonGoogle Scholar
- 35.Jennet B, Bond M (1975) Assessment of outcome after severe brain damage: a practical scale. Lancet I: 480-484Google Scholar