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Journal of Korean Neurosurgical Society 1988;17(4): 797-806. |
| Multiple Factors on Fatal Outcome Following Head Injury. |
| Jhin So Pyen, Hun Joo Kim, Soon Ki Hong, Young Pyo Han |
| Department of Neurosurgery, Yonsei University Wonju College of Medicine, Wonju, Korea. |
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| ABSTRACT |
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The causative factors were analyzed clinicostatically on 113 patients who were dead among 1591 head injured patients during recent 3 years from March, 1983. The conclusions are as follows: 1) The mortality ratio of male to female is 2.9 to 1 and especially 3rd to 5th decade is the most prevalent age group(64 cases, 56.6%). 2) The most common mode of injury is motor vehicle accident(71 cases, 62.8%), followed by fall down and struck on the head in the order of frequency. 3) The 60 cases(53.1%) are in the category of lower GCS(Glasgow Coma Scale) score(< or = 7). 4) The operative intervention does not appear to have any influence on patient's survival time. 5) The abnormal motor and pupil responses are shown on 72 cases(64%) and 75 cases(66%), respectively. 6) The diffuse brain swellings are frequently shown in young age group(<20yr). 7) The leading causes of death are (1)Mass lesion and contusion in cases of lower GCS score(< or = 7) and shorter survival time, and (2) Chest complications and G-I bleeding in cases of higher GCS score(> or = 8) and longer survival time. |
| Key Words:
Head injury; Multiple factors; Death |
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