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Risk factors of progressive brain contusion and relationship with outcome / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences ; (6): 410-416, 2015.
Artículo en Chino | WPRIM | ID: wpr-255176
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the risk factors of progressive brain contusion and to evaluate their impact on patients' outcome.</p><p><b>METHODS</b>One hundred and thirty two patients with traumatic brain contusion were enrolled in the study, including 70 cases with progressive contusion and 62 cases with non-progressive contusion. The risk factors were investigated with univariate and multivariate Logistic regression analysis.</p><p><b>RESULTS</b>The univariate analysis showed that Glasgow Coma Score (GCS) at admission, contusion volume at the first brain CT scans, midline shift, combined with skull fracture, subarachnoid hemorrhage, epidural hematoma, subdural hematoma, location of brain contusion, D-dimer levels, combined with type 2 diabetes were associated with progressive brain contusion. Multivariate Logistic regression analysis showed that GCS at admission, contusion volume at the first CT scans, combined with subarachnoid hemorrhage, combined with type 2 diabetes were the independent risk factors for disease progression. The outcome in the progressive group was more aggravated than that in non-progressive group (P = 0.001).</p><p><b>CONCLUSION</b>Patients with disturbance of consciousness, the larger contusion volume, combined with subarachnoid hemorrhage and diabetes are at risk for progressive brain contusion and unfavorable outcome.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Patología / Hemorragia Subaracnoidea / Lesiones Encefálicas / Productos de Degradación de Fibrina-Fibrinógeno / Tomografía Computarizada por Rayos X / Escala de Coma de Glasgow / Factores de Riesgo / Progresión de la Enfermedad / Diabetes Mellitus Tipo 2 / Hematoma Epidural Craneal Tipo de estudio: Estudio de etiología / Factores de riesgo Límite: Humanos Idioma: Chino Revista: Journal of Zhejiang University. Medical sciences Año: 2015 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Patología / Hemorragia Subaracnoidea / Lesiones Encefálicas / Productos de Degradación de Fibrina-Fibrinógeno / Tomografía Computarizada por Rayos X / Escala de Coma de Glasgow / Factores de Riesgo / Progresión de la Enfermedad / Diabetes Mellitus Tipo 2 / Hematoma Epidural Craneal Tipo de estudio: Estudio de etiología / Factores de riesgo Límite: Humanos Idioma: Chino Revista: Journal of Zhejiang University. Medical sciences Año: 2015 Tipo del documento: Artículo