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  • USP Index for Traumatic Brain Injury

    Final Number:

    Jefferson Rosi Junior; Lin Tchia Yeng; Rogério Ruscito Do Prado; Edwin Korteba; Nicollas Rabelo MD; Eberval Gadelha Figueiredo; Mauricio Mandel; Almir F. Andrade MD, PhD; Manoel Jacobsen Teixeira

    Study Design:

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2018 Annual Meeting - Late Breaking Science

    Introduction: Inspired by prognostic indices used in intensive care unit , the authors advocate with this text method for assessment of survival chances of TBI patients at the time of their admission to the emergency department .

    Methods: A total of 1275 patients were evaluated by applying the logistic model to data on age, gender , mechanism of TBI , score on the Glasgow coma scale ' admission , presence of anisocoria , need for intracranial operation, presence of thoracic lesions , presence abdominal injuries , fractures upper limb , lower limb fractures , hip fractures , and in light of computed tomography , patients were classified according to the scale of Marshall , and verified the existence of deviation from the midline brain structures .

    Results: Older age , presence of anisocoria , low score on the Glasgow Coma Scale on admission , were the factors most associated with greater likelihood of the patient to develop an outcome of death .

    Conclusions: The authors advocate so it is possible the application of USP index to determine the appropriate use of neurological monitoring capabilities that should be reserved for patients with better prognosis.

    Patient Care: Prognostic indices in TBI patients

    Learning Objectives: Survival index of TBI patients


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