https://repositorio.ufba.br/handle/ri/12462
Campo DC | Valor | Idioma |
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dc.contributor.author | Melo, José Roberto Tude | - |
dc.contributor.author | Di Rocco, Federico | - |
dc.contributor.author | Blanot, Stéphane | - |
dc.contributor.author | Oliveira Filho, Jamary | - |
dc.contributor.author | Roujeau, Thomas | - |
dc.contributor.author | Sainte-Rose, Christian | - |
dc.contributor.author | Duracher, Caroline | - |
dc.contributor.author | Vecchione, Antonio | - |
dc.contributor.author | Meyer, Philippe G. | - |
dc.contributor.author | Zerah, Michel | - |
dc.creator | Melo, José Roberto Tude | - |
dc.creator | Di Rocco, Federico | - |
dc.creator | Blanot, Stéphane | - |
dc.creator | Oliveira Filho, Jamary | - |
dc.creator | Roujeau, Thomas | - |
dc.creator | Sainte-Rose, Christian | - |
dc.creator | Duracher, Caroline | - |
dc.creator | Vecchione, Antonio | - |
dc.creator | Meyer, Philippe G. | - |
dc.creator | Zerah, Michel | - |
dc.date.accessioned | 2013-08-05T15:53:21Z | - |
dc.date.issued | 2010-12 | - |
dc.identifier.issn | 0148-396X | - |
dc.identifier.uri | http://www.repositorio.ufba.br/ri/handle/ri/12462 | - |
dc.description | Texto completo: acesso restrito. p.1542-1547 | pt_BR |
dc.description.abstract | BACKGROUND: Traumatic brain injury is a public health problem around the world, and recognition of systemic sources of secondary brain lesions is crucial to improve outcome. OBJECTIVE: To identify the main predictors of mortality and to propose a grading scale to measure the risk of death. METHODS: This retrospective study was based on medical records of children with severe traumatic brain injury who were hospitalized at a level I pediatric trauma center between January 2000 and December 2005. Multiple logistic regression analysis was done to identify independent factors related to mortality. A receiver-operating characteristics curve was performed to verify the accuracy of the multiple logistic regression, and associations that increased mortality were verified. RESULTS: We identified 315 children with severe head injury. Median Glasgow Coma Scale score was 6, and median Pediatric Trauma Score was 4. Global mortality rate was 30%, and deaths occurred despite adequate medical management within the first 48 hours in 79% of the patients. Age < 2 years (P = .02), Glasgow Coma Scale ≤ 5 (P < 10), accidental hypothermia (P = .0002), hyperglycemia (P = .0003), and coagulation disorders (P = .02) were all independent factors predicting mortality. A prognostic scale ranging from 0 to 6 that included these independent factors was then calculated for each patient and resulted in mortality rates ranging from 1% with a score of 6 to 100% with a score of 0. CONCLUSION: Independent and modifiable mortality predictors could be identified and used for a new grading scale correlated with the risk of mortality in pediatric traumatic brain injury. | pt_BR |
dc.language.iso | en | pt_BR |
dc.source | http://dx.doi.org/10.1227/NEU.0b013e3181fa7049 | pt_BR |
dc.subject | Craniocerebral trauma | pt_BR |
dc.subject | Mortality | pt_BR |
dc.subject | Pediatric | pt_BR |
dc.subject | Prognosis | pt_BR |
dc.title | Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale | pt_BR |
dc.title.alternative | Neurosurgery | pt_BR |
dc.type | Artigo de Periódico | pt_BR |
dc.identifier.number | v. 67, n. 6 | pt_BR |
dc.embargo.liftdate | 10000-01-01 | - |
Aparece nas coleções: | Artigo Publicado em Periódico (Faculdade de Medicina) |
Arquivo | Descrição | Tamanho | Formato | |
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00006123-201012000-00020.pdf Restricted Access | 114,46 kB | Adobe PDF | Visualizar/Abrir Solicitar uma cópia |
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