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Glasgow outcome scale at hospital discharge as a prognostic index in patients with severe traumatic brain injury / Escala de resultados de Glasgow por ocasião da alta hospitalar como indicador prognóstico em pacientes com traumatismo cranioencefálico grave
Oliveira, Rosmari A.R.A.; Araújo, Sebastião; Falcão, Antonio L.E.; Soares, Silvia M.T.P.; Kosour, Carolina; Dragosavac, Desanka; Cintra, Eliane A.; Cardoso, Ana Paula D.; Thiesen, Rosana A..
  • Oliveira, Rosmari A.R.A.; Pontifical University Catholic of Campinas. Faculty of Physiotherapy. Campinas. BR
  • Araújo, Sebastião; State University of Campinas. Department of Surgery. Campinas. BR
  • Falcão, Antonio L.E.; State University of Campinas. Department of Surgery. Campinas. BR
  • Soares, Silvia M.T.P.; Pontifical University Catholic of Campinas. Faculty of Physiotherapy. Campinas. BR
  • Kosour, Carolina; UNICAMP. Hospital of Clinics. Campinas. BR
  • Dragosavac, Desanka; State University of Campinas. Department of Surgery. Campinas. BR
  • Cintra, Eliane A.; UNICAMP. Hospital of Clinics. Intensive Care Unit. Campinas. BR
  • Cardoso, Ana Paula D.; State University of Campinas. Department of Surgery. Campinas. BR
  • Thiesen, Rosana A.; UNICAMP. Hospital of Clinics. Campinas. BR
Arq. neuropsiquiatr ; 70(8): 604-608, Aug. 2012. tab
Article Dans Anglais | LILACS | ID: lil-645372
ABSTRACT

OBJECTIVE:

Evaluate the Glasgow outcome scale (GOS) at discharge (GOS-HD) as a prognostic indicator in patients with traumatic brain injury (TBI).

METHOD:

Retrospective data were collected of 45 patients, with Glasgow coma scale <8, age 25±10 years, 36 men, from medical records. Later, at home visit, two measures were scored GOS-HD (according to information from family members) and GOS LATE (12 months after TBI).

RESULTS:

At discharge, the ERG showed vegetative state (VS) in 2 (4%), severe disability (SD) in 27 (60%), moderate disability (MD) in 15 (33%) and good recovery (GR) in 1 (2%). After 12 months death in 5 (11%), VS in 1 (2%), SD in 7 (16%), MD in 9 (20%) and GR in 23 (51%). Variables associated with poor outcome were worse GOS-HD (p=0.03), neurosurgical procedures (p=0.008) and the kind of brain injury (p=0.009).

CONCLUSION:

The GOS-HD was indicator of prognosis in patients with severe TBI.
RESUMO

OBJETIVO:

Avaliar a escala de resultados de Glasgow (ERG) à alta hospitalar (ERG-ALTA) como indicador prognóstico em pacientes com traumatismo cranioencefálico (TCE).

MÉTODO:

Dados retrospectivos de 45 pacientes (36 homens), com escala de coma de Glasgow <8, idade 25±10 anos, foram coletados do prontuário médico. Posteriormente, em visita domiciliar, foram pontuadas duas medidas ERG-ALTA (de acordo com informações de familiares) e ERG TARDIA (após 12 meses do TCE).

RESULTADOS:

Por ocasião da alta hospitalar, a ERG evidenciou estado vegetativo (EV) em 2 (4%); incapacidade grave (IG) em 27 (60%), incapacidade moderada (IM) em 15 (33%) e boa recuperação (BR) em 1 (2%). Após 12 meses morte em 5 (11%), EV em 1 (2%), IG em 7 (16%), IM em 9 (20%) e BR em 23 (51%). Variáveis associadas com má evolução foram pior ERG-ALTA (p=0,03); procedimentos neurocirúrgicos (p=0,008) e o tipo de lesão cerebral (p=0,009).

CONCLUSÃO:

A ERG-ALTA foi indicador adequado de prognóstico tardio em pacientes com TCE grave.
Sujets)


Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Sortie du patient / Lésions encéphaliques / Échelle de suivi de Glasgow / Évaluation de l&apos;invalidité Type d'étude: Etude diagnostique / Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Adolescent / Adulte / Femelle / Humains / Mâle langue: Anglais Texte intégral: Arq. neuropsiquiatr Thème du journal: Neurologie / Psychiatrie Année: 2012 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Pontifical University Catholic of Campinas/BR / State University of Campinas/BR / UNICAMP/BR

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Sortie du patient / Lésions encéphaliques / Échelle de suivi de Glasgow / Évaluation de l&apos;invalidité Type d'étude: Etude diagnostique / Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Adolescent / Adulte / Femelle / Humains / Mâle langue: Anglais Texte intégral: Arq. neuropsiquiatr Thème du journal: Neurologie / Psychiatrie Année: 2012 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Pontifical University Catholic of Campinas/BR / State University of Campinas/BR / UNICAMP/BR