TY - JOUR A2 - Ishrat, Tauheed AU - Røe, Cecilie AU - Skandsen, Toril AU - Manskow, Unn AU - Ader, Tiina AU - Anke, Audny PY - 2015 DA - 2015/11/24 TI - Mortality and One-Year Functional Outcome in Elderly and Very Old Patients with Severe Traumatic Brain Injuries: Observed and Predicted SP - 845491 VL - 2015 AB - The aim of the present study was to evaluate mortality and functional outcome in old and very old patients with severe traumatic brain injury (TBI) and compare to the predicted outcome according to the internet based CRASH (Corticosteroid Randomization After Significant Head injury) model based prediction, from the Medical Research Council (MRC).
Methods.Prospective, national multicenter study including patients with severe TBI ≥65 years. Predicted mortality and outcome were calculated based on clinical information (CRASH basic) (age, GCS score, and pupil reactivity to light), as well as with additional CT findings (CRASH CT). Observed 14-day mortality and favorable/unfavorable outcome according to the Glasgow Outcome Scale at one year was compared to the predicted outcome according to the CRASH models.
Results.97例,平均年龄75 (SD 7)年,64%的男性,我们re included. Two patients were lost to follow-up; 48 died within 14 days. The predicted versus the observed odds ratio (OR) for mortality was 2.65. Unfavorable outcome (GOSE < 5) was observed at one year follow-up in 72% of patients. The CRASH models predicted unfavorable outcome in all patients.
Conclusion.The CRASH model overestimated mortality and unfavorable outcome in old and very old Norwegian patients with severe TBI. SN - 0953-4180 UR - https://doi.org/10.1155/2015/845491 DO - 10.1155/2015/845491 JF - Behavioural Neurology PB - Hindawi Publishing Corporation KW - ER -