known worldwide and commonly used to predict the level of, consciousness, mortality and morbidity (4,9,10,13). Even though GCS is the first thing that comes to mind in the whole world, contradiction between observers, inability to evaluate verbal response on intubated, sedated and delirium patients, and absence of brainstem reflexes in the scale are the subjects which are criticized in the lite...

a motor vehicle seat belt use law for the driver and front-seat passenger was implemented in taiwan on june 1, 2001. the purpose of this study was to determine the effect of motor vehicle seat belt use on the severity of traumatic brain injuries because of motor vehicle accidents.data were collected from 27 major teaching hospitals four years before june 1, 2001 and until may 31, 2013. a total ...

Disease-related malnutrition of neurocritical illness harms its treatment, which increases the mortality rate. The aim of this study was evaluating the effect of a high protein diet on the dietary factors, clinical outcome, and mortality rate of neurocritical patients. In a randomized controlled trial, 15 neurocritical patients were recruited in each group. Patients in the intervention and cont...

Numerous scoring scales have been proposed and validated to evaluate coma for rapid pre-hospital assessment and triage, disease severity, and prognosis for morbidity and mortality. These scoring systems have been predicated on core features that serve as a basis for this review and include ease of use, inter-rater reliability, reproducibility, and predictive value. Here we review the benefits a...

Background: Hypernatremia is frequently encountered in the neurocritical intensive care units (ICUs) and its effect can badly affect the mortality. Objective: To verify whether the occurrence of hypernatremia during the ICU stay increases the risk of death in patients with severe traumatic brain injury (TBI). Methods: Randomized prospective study; 100 patients with TBI in Neurocritical care uni...

BACKGROUND Traumatic Brain Injury (TBI) in children has been poorly studied, and the literature is limited. We evaluated 146 children with severe TBI (coma score less than 8) in an attempt to establish the prognostic factors of severe TBI in children. METHODS The severity of TBI was assessed via modified Glasgow Coma Score for those more than 3 years old and via Children Coma Score for those ...

INTRODUCTION Our aim in this study was to assess whether the new Glasgow Coma Scale, Age, and Systolic Blood Pressure (GAP) scoring system, which is a modification of the Mechanism, Glasgow Coma Scale, Age, and Arterial Pressure (MGAP) scoring system, better predicts in-hospital mortality and can be applied more easily than previous trauma scores among trauma patients in the emergency departmen...

In a prospective study, the prognostic value of clinical characteristics in 157 consecutive patients with spontaneous supratentorial intracerebral haemorrhage were examined by means of multivariate analysis. Two days after the event 37 (24%) patients had died. Factors independently contributing to the prediction of two day mortality were pineal gland displacement on CT of 3 mm or more (p less t...

Materials and methods The purpose of this study was to compare data obtained from a statewide data set for elderly patients (> 65 years) that presented with severe traumatic brain injury with data from nonelderly patients < 65 years) with similar injuries. MATERIAL-METHODS During the last 6 years(2003,2004,2005,2006,2007,2008) 200 (130 men-65%and 70 women-35%-) patients were examined. 110 of th...