Intensive treatment of head injured patient: Analysis of 354 cases

N. Stocchetti, T. Serioli, M. Mergoni

Research output: Contribution to journalArticlepeer-review

Abstract

The following data of 354 consecutive head injured patients treated in an intensive care unit are analysed: age and sex, chronic health status before the trauma, trauma score (which includes Glasgow Coma Score). CT Scan diagnosis of cerebral lesions, anatomic description of extracerebral lesions, time elapsed between trauma and intensive treatment. After the admission and the surgical treatment (when necessary) patients have undergone an intensive treatment including artificial ventilation, hemodynamic monitoring, nutritional support and intracranial pressure (ICP) monitoring in selected cases. Several different medical and surgical specialities were involved in the diagnostic and therapeutic effort for the treatment of cerebral and extracerebral lesions. In 1984, 48% of head injuries were associated with extracerebral lesions, in 1985, 63% and in 1986, 68%. Moreover 30% of the patients belonging to this category had undergone surgical operations, not only for evacuation of hematomas but also for emergency treatment of abdominal bleeding, limb fractures, facial injuries etc. The outcome verified six months after the trauma using the Glasgow Outcome Score shows a mortality rate of 40%: there is no outstanding difference between the patient's general outcome and the outcome of the group who had undergone ICP monitoring; besides the last ones had a more severe brain damage. Treatment of severely head injured patients requires long term hospitalization but many delays are due to the shortage of post-intensive and rehabilitation beds.

Original languageEnglish
Pages (from-to)249-251
Number of pages3
JournalAgressologie
Volume29
Issue number4
Publication statusPublished - 1988

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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