• Arq Neuropsiquiatr · Aug 2012

    Glasgow outcome scale at hospital discharge as a prognostic index in patients with severe traumatic brain injury.

    • Rosmari A R A Oliveira, Sebastião Araújo, Antonio L E Falcão, Silvia M T P Soares, Carolina Kosour, Desanka Dragosavac, Eliane A Cintra, Ana Paula D Cardoso, and Rosana A Thiesen.
    • Faculty of Physiotherapy, Pontifical University Catholic of Campinas, Campinas, SP, Brazil. rrosmari@terra.com.br
    • Arq Neuropsiquiatr. 2012 Aug 1;70(8):604-8.

    ObjectiveEvaluate the Glasgow outcome scale (GOS) at discharge (GOS-HD) as a prognostic indicator in patients with traumatic brain injury (TBI).MethodRetrospective 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).ResultsAt 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).ConclusionThe GOS-HD was indicator of prognosis in patients with severe TBI.

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