J Korean Acad Nurs.  2006 Jun;36(4):621-629.

Comparisons of the Prognostic Predictors of Traumatic Brain Injury According to Admission Glasgow Coma Scale Scores-Based on 1- and 6-month Assessments

Affiliations
  • 1Department of Nursing, College of Medicine, Inha University, YongHyun Dong 253, Incheon, Republic of Korea. hsoh@inha.ac.kr
  • 2Graduate School, Inha University, YongHyun Dong 253, Incheon, Republic of Korea.

Abstract

PURPOSE: The purpose of this study was to identify the clinical variables that predict functional and cognitive recovery at 1- and 6-month in both severe and moderate/mild traumatic brain injury patients. METHODS: The subjects of this study were 82 traumatically brain-injured patients who were admitted to a Neurological Intensive Care Unit at a university hospital. Potential prognostic factors included were age, motor and pupillary response, systolic blood pressure, heart rate, and the presence of intracranial hematoma at admission. RESULTS: The significant predictors of functional disability in severe traumatic brain injury subjects were, age, systolic blood pressure, the presence of intracranial hematoma, motor response, and heart rate at admission. In moderate/mild traumatic brain injury patients, motor response, abnormal pupil reflex, and heart rate at admission were identified as significant predictors of functional disability. On the other hand, the significant predictors of cognitive ability for severe traumatic brain injury patients were motor response and the presence of intracranial hematoma at admission, whereas those for moderate/mild patients were motor response, pupil reflex, systolic blood pressure at admission, and age. CONCLUSIONS: The results of the present study indicate that the significant predictors of TBI differ according to TBI severity on admission, outcome type, and outcome measurement time. This can be meaningful to critical care nurses for a better understanding on the prediction of brain injury patients. On the other hand, the model used in the present study appeared to produce relatively low explicabilities for functional and cognitive recovery although a direct comparison of our results with those of others is difficult due to differences in outcome definition and validation METHODS: This implies that other clinical variables should be added to the model used in the present study to increase its predicting power for determining functional and cognitive outcomes.

Keyword

Traumatic brain injury; Prognostic predictors; Recovery; Glasgow coma scale

MeSH Terms

Adolescent
Adult
Aged
Aged, 80 and over
Brain Injuries/*diagnosis/*rehabilitation
Disability Evaluation
Female
*Glasgow Coma Scale
*Health Status Indicators
Humans
Korea
Male
Middle Aged
Multivariate Analysis
Neuropsychological Tests
Prognosis
Prospective Studies
*Recovery of Function
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