Prognosticators of outcome after major head injury in the elderly.

A. M. Ross, L. H. Pitts, S. Kobayashi

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

In 195 elderly head-injured patients, Glasgow Coma Scale (GCS) scores (admission and 72 hours) and intracranial pressure (ICP) 0-12 days after injury were compared to 6 month Glasgow Outcome Scores. All patients remaining comatose at least 72 hours after injury died within 6 months. The mortality rate among patients with ICP greater than 20 mm Hg was higher both at 72 hours and at 6 months after injury. The 6 month mortality rate was 75% overall and 90% among patients with elevated ICP. This increased mortality in elderly patients with initially elevated ICP indicates that nurses and other health professionals should consider ICP as well as level of consciousness when counseling patients and families regarding the likely outcome after major head injuries.

Original languageEnglish (US)
Pages (from-to)88-93
Number of pages6
JournalThe Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
Volume24
Issue number2
DOIs
StatePublished - Apr 1992
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

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