Journal ArticleDOI
Prognosis of severe brain injury
Olli Heiskanen,P. Sipponen +1 more
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It is concluded that in patients over 60 no special or heroic methods of treatment are indicated but that in children and adolescents every effort should be made as long as there has not been respiratory arrest and cerebral death.Abstract:
The data concerning the mortality in severe brain injury and the disability caused by it were analysed. We classified as severe those head injuries which caused unconsciousness for more than 24 hours. The series presented consists of 204 patients. The follow-up time was from three to five years. The total mortality was 50 per cent, but increased steeply in older age groups. The mortality in patients over 60 years of age was 78 per cent, but among those under 20 years it was 38 per cent. Three years after the injury 43 per cent of the survivors were totally disabled. Less than 30 per cent of patients over 50 years of age were able to return to their former work, whereas more than 70 per cent of patients under 20 years were able to return to work or to school. It is concluded that in patients over 60 no special or heroic methods of treatment are indicated but that in children and adolescents every effort should be made as long as there has not been respiratory arrest and cerebral death.read more
Citations
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Journal ArticleDOI
ASSESSMENT OF OUTCOME AFTER SEVERE BRAIN DAMAGE: A Practical Scale
Bryan Jennett,Michael R. Bond +1 more
TL;DR: In this article, a five-point scale is described, which includes death, persistent vegetative state, severe disability, moderate disability, and good recovery, and duration as well as intensity of disability should be included in an index of ill-health.
Journal ArticleDOI
Suicide as an outcome for mental disorders. A meta-analysis.
E C Harris,B Barraclough +1 more
TL;DR: Almost all mental disorders have an increased risk of suicide excepting mental retardation and dementia, which is highest for functional and lowest for organic disorders with substance misuse disorders lying between.
Journal ArticleDOI
Disability after severe head injury: observations on the use of the Glasgow Outcome Scale.
TL;DR: The nature of the neurological and mental disabilities resulting from severe head injuries are analysed and an extended version of the Glasgow Outcome Scale is described and compared with alternatives.
Journal ArticleDOI
The outcome from severe head injury with early diagnosis and intensive management
TL;DR: It is proposed that vigorous surgical and medical therapy, by preventing or reversing secondary cerebral insults, enables some patients who would have died to make a good recovery without increasing the proportion of severely disabled patients.
Journal ArticleDOI
Assessment and prognosis of coma after head injury
Graham M. Teasdale,Bryan Jennett +1 more
TL;DR: The Glasgow Coma Scale, based upon eye opening, verbal and motor responses, has proved a practical and consistent means of monitoring the state of head injured patients and reliably predicted outcome in the majority of 92 new patients.
References
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Journal ArticleDOI
Cerebral involvement in head injury. A study based on the examination of two hundred cases
Journal ArticleDOI
Factors affecting the clinical corse of patients with severe head injuries. 1. Influence of biological factors. 2. Significance of posttraumatic coma.
TL;DR: An analysis of a series of severe brain injuries resulting from blunt head trauma is reported according to the three categories above to define some of the characteristics of the underlying biological factors and pathophysiological processes.
Journal ArticleDOI
Rehabilitation after head injury.
TL;DR: This lecture is concerned with an attempt to estimate the present need and the patterns along which a rehabilitation service might develop, and the time is opportune.
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