Faculty Collaboration Database

Impact of traumatic subarachnoid hemorrhage on outcome in nonpenetrating head injury. Part II: Relationship to clinical course and outcome variables during acute hospitalization. J Trauma 1996 Dec;41(6):964-71

Date

12/01/1996

Pubmed ID

8970547

DOI

10.1097/00005373-199612000-00004

Scopus ID

2-s2.0-0030451421 (requires institutional sign-in at Scopus site)   37 Citations

Abstract

Patients with a nonpenetrating head injury and traumatic subarachnoid hemorrhage (tSAH) on admission head computed tomography scan (n = 240) were compared with patients without tSAH matched in terms of admission postresuscitation Glasgow Coma Scale (GCS) values, age, sex, and the presence of one or more types of intracranial mass lesions. Admission Injury Severity Score was higher only in tSAH patients with admission GCS scores between 13 and 15; GCS values at 6, 24, and 48 hours were lower for tSAH patients. Patients with tSAH underwent fewer craniotomies, but more than twice as many tSAH patients had high intracranial pressure at the time of ventriculostomy placement and 6 hours after admission. tSAH patients underwent more chest procedures and their incidence of hypoxia and hypotension was greater. tSAH patients spent more days in intensive care unit, more total days hospitalized, and had worse Glasgow Outcome Scale scores at acute hospital discharge. Fewer tSAH patients were discharged home, and almost 1.5 times as many tSAH patients died during hospitalization. Given a similar overall degree of injury at admission, patients with tSAH associated with a nonpenetrating head injury had a worse outcome than similar patients without tSAH.

Author List

Greene KA, Jacobowitz R, Marciano FF, Johnson BA, Spetzler RF, Harrington TR

Author

Karl A. Greene MD Adjunct Assistant Professor in the Neurosurgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Accidents, Traffic
Adolescent
Adult
Child
Child, Preschool
Craniocerebral Trauma
Female
Glasgow Coma Scale
Hospitalization
Humans
Infant
Injury Severity Score
Male
Motorcycles
Patient Discharge
Retrospective Studies
Subarachnoid Hemorrhage
Tomography, X-Ray Computed
Wounds, Nonpenetrating