[The prognosis of the outcomes of comatose states in the first 24 hours following craniocerebral trauma]. / Prognozirovanie iskhodov komatoznykh sostoianii v pervye sutki posle cherepno-mozgovoi travmy.

In 58 patients with disorders of consciousness in the first day after the trauma assessed by the Glasgow coma scale both favourable (31%) and fatal outcomes (69%) were observed. Some differences were revealed in the indices of the Moscow scale and Glasgow scale.

[Surgical treatment of patients with cranio-cerebral trauma and the role of neurological symptoms in the prognosis of its outcomes]. / Khirurgicheskoe lechenie bo'lnykh s cherepno-mozgovoi travmoi i ro'l nevrologicheskoi simptomatiki dlia prognozirovaniia iskhodov.

Under examination there were 411 patients with cranio-cerebral traumas. A unified method was used at different medical institutions in order to study questions of prognosis of the outcomes. Surgical treatment was used in 117 of them. The investigations have shown that the state of trance-coma both before operation and in the postoperative period is absolutely unfavourable prognostically. The state of trance-coma and the value of 15 scores and less should be taken into consideration as a contraindication for the solution of the question of operation in patients with cranio-cerebral traumas.

[Use of a point-scale assessment of patient status in the surgical treatment of craniocerebral injuries]. / Ispol'zovanie ball'noi otsenki sostoianiia bol'nykh pri khirurgicheskom lechenii cherepno-mozgovoi travmy.

The indications and contraindications for surgical treatment in craniocerebral trauma (CCT) were based on estimation of the patient's condition in marks; the dynamics of changes of the results of the estimation in the pre- and postoperative periods were studied. A total of 375 patients with CCT were examined in different medical institutions according to a unified method. Neurosurgical interventions were carried out on 155 patients. All patients who underwent operation when their condition was rated below 15 marks died on the immediate postoperative days, whatever their age and whatever the time of the operation after the trauma. The probability of a favourable outcome increased to 40% in a condition rated 21-30 marks on the day of the operation and reached 69% when it was above 30 marks.

[Correlation of clinical signs with the outcome of craniocerebral trauma]. / Koreeliatsiia klinicheskikh priznakov s iskhodami cherepno-mozgovoi travmy.

Clinical manifestations were correlated with head trauma (HT) outcomes using computer software MEDSTAT-85. Neuro-ophthalmologic signs, motor and vital disorders had maximal prognostic values. Outcome was highly correlated with consciousness disorders phase scaling and patients' state scores (PSS) as well as with coma and consciousness disorders length suggesting that these parameters are of major prognostic importance. A close correlation was found between consciousness states, PSS and HT variants, brain lesion forms, vital and somatic disorders indicating their role as determinants of HT outcome.

[Information value of initial clinical signs for the prognosis of outcome in the first 24 hours after craniocerebral injury]. / Informativnost' klinicheskikh priznakov dlia prognozirovaniia iskhodov v 1-e sutki posle cherepno-mozgovoi travmy.

The informativeness of clinical indicators for predicting lethal and favourable outcomes during the first 24 hours after a head trauma has been investigated. A pool of clinical findings about the status of 302 patients examined according to a uniform technique has been analyzed using a packet of the MEDSTAT-85 software. The authors present an optimal set of clinical signs for predicting fatal and favourable outcome within the first 24 hours after the trauma with an 83% probability rate.

[Prediction of the outcome of craniocerebral injuries in the acute period]. / Prognozirovanie iskhodov v ostrom periode cherepno-mozgovoi travmy.

Unified clinical findings in 302 patients were analysed to prognosticate the outcomes of severe craniocerebral trauma in the acute phase. The patients condition in the acute stage was evaluated in points according to four types of outcome: fatal, with coarse and moderate neurological disorders, and with a satisfactory compensation of the condition. In a condition rated 20-30 points the probability of a favourable or a fatal outcome was equal. In a condition rated less than 20 points the probability of a fatal outcome increases, in one-rated above 30 points the probability of a favourable outcome grew.

[Prediction of various categories of recovery in craniocerebral injuries and the informative value of clinical signs]. / Prognozirovanie raznykh kategorii vyzdorovleniia pri cherepno-mozgovoi travme i informativnost' klinicheskikh priznakov.

The authors studied the informative value of clinical signs of craniocerebral trauma (CCT) in relation to the prediction of different categories of recovery. Using a package of applied programmes MEDSTAT-85 a clinical pool of the findings about the status of 302 patients examined by a uniform technique was subjected to clinical analysis. The optimal set of clinical indicators for predicting different categories of recovery in the first 24 hours after the CCT with an average accuracy of 80% is described.

[Relation between criteria for the outcome of craniocerebral trauma and the severity of consciousness disorders in the acute phase]. / Prognosticheskie kriterii iskhodov cherepno-mozgovoi travmy v zavisimosti ot stepeni narusheniia soznaniia bol'nykh v ostroi faze.

Prognostic criteria of outcomes after severe craniocerebral traumas observed in 66 patients have been presented with the account of the degree of consciousness disorders in the acute phase. Favourable outcomes were confirmed in subjects whose level of consciousness impairments was not below 20 points according to coma quantity classification accepted at the N. N. Burdenko Institute of Neurosurgery.