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The records of 187 patients(age 6 months to 82 years)who sustained severe closed head injuries and were admitted to a neurosurgical unit between 1983 and 1987 were retrospectively reviewed.The aim was to develop a scale for selecting patients whose death could be predicted with certainty at an early stage and who should therefore not receive prolonged intensive care. The scale was prospectively tested on 52 comparable patients admitted during 1988 and was found to be accurate with no falsely pessimistic predictions.The score is based mainly on clinical observations within 12 h of presentation. |
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CAT scan
CAT scan,abnormal
critical care unit
Glasgow coma score
head injury
head injury,management of
head injury,prognosis in
head injury,severe
hypotension,systemic
life support,withdrawal of
life sustaining treatment
mortality
prognosis
pupil
pupil,abnormality in neurologic disorders
pupil,dilated and fixed,bilateral
pupil,midposition and fixed,bilateral
treatment of neurologic disorder
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