지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Objective : This study was conducted to assess the clinical significance of traumatic brain stem injury (TBSI) reflected on Glasgow Coma Score (GCS) and Glasgow Outcome Score (GOS) by various clinical variables. Methods : A total of 136 TBSI patients were selected out of 2695 head-injured patients. All initial computerized tomography and/or magnetic resonance imaging studies were retrospectively analyzed according to demographic- and injury variables which result in GCS and GOS. Results : In univariate analysis, mode of injury showed a significant effect on combined injury (p<0.001), as were the cases with skull fracture on radiologic finding (p<0.000). The GCS showed a various correlation with radiologic finding (p<0.000), mode of injury (p<0.002), but less favorably with impact site (p<0.052), age (p<0.054) and skull fracture (p<0.057), in order of statistical significances. However, only GOS showed a definite correlation to radiologic finding (p<0.000). In multivariate analysis, the individual variables to enhance an unfavorable effect on GCS were radiologic finding [odds ratio (OR) 7.327, 95% confidence interval (CI)], mode of injury (OR; 4.499, 95% CI) and age (OR; 3.141, 95% CI). Those which influence an unfavorable effect on GOS were radiologic finding (OR; 25.420, 95% CI) and age (OR; 2.674, 95% CI). Conclusion : In evaluation of TBSI on outcome, the variables such as radiological finding, mode of injury, and age were revealed as three important ones to have an unfavorable effect on early stage outcome expressed as GCS. However, mode of injury was shown not to have an unfavorable effect on late stage outcome as GOS. Among all unfavorable variables, radiological finding was confirmed as the only powerful prognostic variable both on GCS and GOS.
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참고문헌 (37)
참고문헌 신청
Adams H / 1977 / Diffuse brain damage ofimmediate impact type. Its relationship to 몆rimary brain-stem damage?in head injury / Brain 100:489~502
Adler DE / 2002 / The tentorial notch: anatomical variation, morphometric analysis, and classification in 100 human autopsy cases / J Neurosurg 96:1103~1112
Andrews BT / 1988 / The effect of intracerebral hematoma location on the risk of brain-stem compression and on clinical outcome / J Neurosurg 69:518~522
Bouras T / 2007 / Traumatic midbrain hematoma in a patient presenting with an isolated palsy of voluntary facial movements. Case report / J Neurosurg 107:158~160
Carpentier A / 2006 / Early morphologic and spectroscopic magnetic resonance in severe traumatic brain injuries can detect 밿nvisible brain stem damage?and predict 뱕egetative states? / J Neurotrauma 23:674~685
Adler DE / 2002 / The tentorial notch: anatomical variation, morphometric analysis, and classification in 100 human autopsy cases / J Neurosurg 96:1103~1112
Andrews BT / 1988 / The effect of intracerebral hematoma location on the risk of brain-stem compression and on clinical outcome / J Neurosurg 69:518~522
Bouras T / 2007 / Traumatic midbrain hematoma in a patient presenting with an isolated palsy of voluntary facial movements. Case report / J Neurosurg 107:158~160
Carpentier A / 2006 / Early morphologic and spectroscopic magnetic resonance in severe traumatic brain injuries can detect 밿nvisible brain stem damage?and predict 뱕egetative states? / J Neurotrauma 23:674~685
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