Oliveira RARA, Araújo S, Falcão ALE, Soares SMTP, Kosour C, Dragosavac D, Cintra EA, Cardoso APD, Thiesen RA. Glasgow outcome scale at hospital discharge as a prognostic index in patients with severe traumatic brain injury.
ARQUIVOS DE NEURO-PSIQUIATRIA 2013;
70:604-8. [PMID:
22899032 DOI:
10.1590/s0004-282x2012000800009]
[Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2011] [Accepted: 01/20/2012] [Indexed: 11/22/2022]
Abstract
OBJECTIVE
Evaluate the Glasgow outcome scale (GOS) at discharge (GOS-HD) as a prognostic indicator in patients with traumatic brain injury (TBI).
METHOD
Retrospective data were collected of 45 patients, with Glasgow coma scale <8, age 25±10 years, 36 men, from medical records. Later, at home visit, two measures were scored: GOS-HD (according to information from family members) and GOS LATE (12 months after TBI).
RESULTS
At discharge, the ERG showed: vegetative state (VS) in 2 (4%), severe disability (SD) in 27 (60%), moderate disability (MD) in 15 (33%) and good recovery (GR) in 1 (2%). After 12 months: death in 5 (11%), VS in 1 (2%), SD in 7 (16%), MD in 9 (20%) and GR in 23 (51%). Variables associated with poor outcome were: worse GOS-HD (p=0.03), neurosurgical procedures (p=0.008) and the kind of brain injury (p=0.009).
CONCLUSION
The GOS-HD was indicator of prognosis in patients with severe TBI.
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