OBJECTIVES To investigate the factor structure and psychometric properties of the neurobehavioural rating scale-revised (NRS-R) and to determine its usefulness in clinical trials. METHODS A consecutive series of patients sustaining severe closed head injury were evacuated to one of 11 large regional North American trauma centres and entered into a randomised, phase III, multicentre clinical t...

injuries, especially traffic accidents are so important causes of death, disability, hospital expenses, economic damages to the society which world health organization selected them as the main subjects for investigation and research. we have done an epidemiologic study about trauma in guilan, a province in north of iran. this is   a descriptive study carried out on patients with traumatic inju...

conclusions with regards to the predictive strength of the combination of gcs and iss, a predictive system for analyzing the clinical outcome may be provided. results 15496 traumatic patients referred to the hospital and traumatic deaths occurred in 289 patients. blunt trauma accounted for 286 (99%) of death and penetrating trauma for only 1%. our findings concerning the injury pattern, correla...

BACKGROUND The National Institutes of Health Stroke Scale (NIHSS) provides a standardized measure of stroke severity and is frequently captured to assess 3-month outcome. Other outcome measures have been assessed for the relationship to dependence; a clinically relevant outcome. The relationship between NIHSS score and functional dependence is unknown. The purpose of this study was to assess th...

No single outcome measure can describe or predict all dimensions of recovery and disability after acute stroke. Several scales have proven reliability and validity in stroke trials, including the National Institutes of Health stroke scale (NIHSS), the modified Rankin scale (mRS), the Barthel index (BI), the Glasgow outcome scale (GOS), and the stroke impact scale (SIS). Several scales have been...

BACKGROUND Despite immediate resuscitation, survival rates following out-of-hospital cardiac arrests (OHCA) witnessed by emergency medical service (EMS) are reportedly low. We sought to compare survival and 12-month functional recovery outcomes for OHCA occurring before and after EMS arrival. METHODS Between 1st July 2008 and 30th June 2013, we included 8648 adult OHCA cases receiving an EMS ...

BACKGROUND Advanced prehospital interventions for severe brain injury remains controversial. No previous randomised trial has been conducted to evaluate additional physician intervention compared with paramedic only care. METHODS Participants in this prospective, randomised controlled trial were adult patients with blunt trauma with either a scene GCS score <9 (original definition), or GCS<13...

OBJECTIVE To document the frequency, clinical correlates and predictors of symptomatic upper limb spasticity in patients one year or more after stroke. DESIGN Cross-sectional study. SUBJECTS A total of 140 patients after stroke attending a rehabilitation clinic. METHODS Assessments of spasticity, upper limb function and self-care ability using the Ashworth Scale (AS), Motor Assessment Sca...