Analysis of related influential factors for prognosis of traumatic brain injury patients / 国际外科学杂志

ABSTRACT

Objective To explore the related factors which affect the prognosis of traumatic brain injury (TBI) patients and provide the basis for clinical diagnosis and treatment.Methods One hundred and thirty-four TBI patients were selected from May 2017 to April 2018 in the Department of Neurosurgery of Wuwei Liangzhou Hospital.Death and discharge were used as endpoint events.The patients were divided into survival group (n =103) and death group (n =31) according to their prognosis.The abbreviated injury scale (AIS),glasgow coma scale (GCS),vital signs,thrombelastography,coagulation function and Chinese DIC scoring system (CDSS) of the patients at the time of admission was completed.The measurement data were compared with the t test,the count data were compared with chi-square test and logistic regression was used for multivariate regression analysis.Results The AIS was (4.7 ± 0.9) scores,CDSS was (7.8 ± 1.1) scores,GCS was (5.8 ± 1.4) scores,the R time of thrombelastography was (15.1 ± 5.6) min in death group.The AIS was (4.3 ± 0.8) scores,CDSS was (6.6 ± 0.6) scores,GCS was (8.6 ± 1.7) scores,the R time of thrombelastography was (8.6 ± 3.4) min in survival group.Single factor analysis showed that the AIS and CDSS were higher,GCS was lower and the R time of thrombelastography was longer in death group than in survival group,and there were statistical differences between the two groups (P ＜ 0.05).The multivariate logistic regression analysis showed that GCS,CDSS and R time were the independent risk factors of the prognosis of TBI patients.The area under the receiver operating characteristic curves of GCS,CDSS and R time were 0.731,0.648 and 0.635,respectively.Conclusion GCS,CDSS and R time can be used as predictive risk factors for prognosis of TBI patients.