1.Department of Neurosurgery, 2.Department of Emergency， 3.Medical Record Library, 4.Medical Services， the Affiliated Hospital of Jiangsu University, Zhenjiang Jiangsu 212001； 5.Department of Neurosurgery， Danyang TCM Hospital, Zhenjiang Jiangsu 212300， China
Abstract：Objective: To analyze association between motor scores and outcome after severe traumatic brain injury, and determine motor scores precision and reliability. Methods: A retrospective analysis was performed of severe traumatic brain injury(TBI) patients; the Glasgow coma scale(GCS) of 140 patients arriving to the hospital was recorded. Prognostic indicators included inhospital mortality during intensive care unit (ICU), days staged in ICU, Glasgow outcome score (GOS) at discharge and six-month after injury in survival patients(>1 month). Results: A total of 140 patients were identified, and 65 (46.4%) were died during ICU. The full GCS, the score of motor response, verbal response and eye opening were four independent variables and had significant correlation with mortality. The score of motor response had significant correlation with GOS at discharge and six-month after injury in long time survival patients(>1 month). Conclusion: The motor response score can accurately predict in-hospital death and outcome in severe TBI patients and be used in pre-hospital assessment.
王存祖1, 谢江宁2, 常志英3, 谢正兴1, 许慧中1, 丁德群4, 陈冬云5, 陈新成1. 院前GCS中运动评分与重型颅脑外伤患者预后的关系[J]. 江苏大学学报:医学版, 2012, 22(6): 503-506.
WANG Cun-zu1, XIE Jiang-ning2, CHANG Zhi-ying3, XIE Zheng-xing1, XU Hui-zhong1, DING De-qun4, CHEN Dong-yun5, CHEN Xin-cheng1 . Association between scores of the motor component of the GCS and outcome after severe traumatic brain injury. Journal of Jiangsu University(Medicine Edition), 2012, 22(6): 503-506.
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2012, Vol. 22 
