Brain injury : [BI]
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Brain injury : [BI] · Jan 2011
Predict recovery of consciousness in post-acute severe brain injury: the role of EEG reactivity.
This study tested the hypothesis of electroencephalographic reactivity (EEG-R) as a reliable tool for the prognostic evaluation of consciousness recovery in post-acute brain injury. ⋯ EEG-R is a good positive factor for the prognosis of recovery of consciousness in the post-acute phase of brain injury, with a high specificity (88.9%). Nevertheless, its absence is not invariably associated with a poor prognosis.
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Brain injury : [BI] · Jan 2011
Head injury in polytrauma-Is there an effect on outcome more than 10 years after the injury?
Head injuries are of great relevance for the prognosis of polytrauma patients during acute care. However, knowledge about the impact on the long-term outcome is sparse. Therefore, this study analysed the role of head injuries on the outcome of polytrauma patients more than 10 years after injury in a matched-pair analysis. ⋯ Matching pairs of equally injured polytrauma patients of same gender with and without head injury 10 years following trauma indicated significantly worse results in the GOS due to head injury.
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Brain injury : [BI] · Jan 2011
Hyperphosphorylated neurofilament NF-H as a predictor of mortality after brain injury in children.
The aim of the study was to determine whether serum levels of hyperphosphorylated neurofilament NF-H correlate with severity of brain injury in children. ⋯ Although further, prospective study is warranted, these findings suggest that levels of hyperphosphorylated neurofilament NF-H correlate with mortality and may be useful as predictors of outcome in children with TBI.
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Brain injury : [BI] · Jan 2011
Exploring the sources of 'missingness' in brain tissue monitoring datasets: an observational cohort study.
To investigate the frequency/category of missing electronic data in export files from patients admitted to the intensive care unit (ICU) with severe traumatic brain injury (TBI). ⋯ Sixty-two patients were studied; 60% of missing T(br) and ICP data events were attributed to electronic data acquisition 'faults'. Missing data rate ranged from 9-43% (median 25%). Cross-reference of missing data to clinical observation sheets and medical case notes shows that disconnection of sensors from monitors during critical events are common. Conclusions and implications for further research: Of concern for clinical management of patients with TBI is the detection of sudden changes in ICP or brain temperature; the parameters which forewarn of impending intracranial catastrophes. Missing data occurred at critical times of the patients stay in the ICU. This work should alert research clinicians of the need to scrutinize monitored physiological data to establish the percentage of missing values in order to obviate bias in the interpretation of results.