BACKGROUND Traumatic brain injury is a major public health problem due to high mortality and morbidity among survivors. METHODS We performed a retrospective cohort study of patients with severe traumatic brain injury. We recorded the attending physician's evaluation of the patient's consciousness, the patient's demographics, routine physical measurements, and medical interventions. We used Gl...

Objectives To examine the construct validity and measurement precision of Coma Near-Coma scale (CNC) in measuring neurobehavioral function (NBF) patients with disorders consciousness receiving postacute care rehabilitation. Design Rasch analysis retrospective data. Participants (N=48) disordered who were admitted to Interventions Not applicable. Main Outcome Measure CNC. Results Assessment CNC ...

INTRODUCTION Better prognostic classification of patients who are severely injured or in critical condition has been associated with reduced case fatality from traumatic brain injury. OBJECTIVE Determine the value of admission results (clinical, laboratory and imaging) and severity scales, for predicting mortality in traumatic brain injury patients. METHODS A cross-sectional study of trauma...

The hospital charts and CT scans of 112 patients with spontaneous supratentorial haemorrhage were retrospectively reviewed to evaluate factors important to prognosis. A low Glasgow Coma Scale score, coma, ataxic respiration, abnormal pupils, acute hypertension, large haemorrhage size and intraventricular extension of blood were associated with a poor outcome. Multivariate analysis using the tec...

background: glasgow coma scale is considered as the common measuring tool of consciousness level. however, its utilization has been criticized in some cases and the use of alternative tools for determining consciousness level is recommended. so, this study was conducted to analyze correlation between the instruments with physiological indicators for determining the altered level of consciousnes...

OBJECTIVE We hypothesize that the major consciousness deficit observed in coma is due to the breakdown of long-range neuronal communication supported by precuneus and posterior cingulate cortex (PCC), and that prognosis depends on a specific connectivity pattern in these networks. METHODS We compared 27 prospectively recruited comatose patients who had severe brain injury (Glasgow Coma Scale ...

Background: Appropriate clinical measures to prevent secondary brain damage in traumatic brain injury are of critical importance. Objectives: This study aims to investigate the relationships between serum electrolyte disturbances and Glasgow Coma Scale (GCS) score in patients with Diffuse Axonal Injury (DAI) at the time of admission and discharge. Materials & Methods: In this retrospective cr...