Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale

Detalhes bibliográficos
Autor(a) principal: Melo, José Roberto Tude
Data de Publicação: 2010
Outros Autores: Di Rocco, Federico, Blanot, Stéphane, Oliveira Filho, Jamary, Roujeau, Thomas, Sainte-Rose, Christian, Duracher, Caroline, Vecchione, Antonio, Meyer, Philippe G., Zerah, Michel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/12462
Resumo: Texto completo: acesso restrito. p.1542-1547
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spelling Melo, José Roberto TudeDi Rocco, FedericoBlanot, StéphaneOliveira Filho, JamaryRoujeau, ThomasSainte-Rose, ChristianDuracher, CarolineVecchione, AntonioMeyer, Philippe G.Zerah, MichelMelo, José Roberto TudeDi Rocco, FedericoBlanot, StéphaneOliveira Filho, JamaryRoujeau, ThomasSainte-Rose, ChristianDuracher, CarolineVecchione, AntonioMeyer, Philippe G.Zerah, Michel2013-08-05T15:53:21Z2010-120148-396Xhttp://www.repositorio.ufba.br/ri/handle/ri/12462v. 67, n. 6Texto completo: acesso restrito. p.1542-1547BACKGROUND: Traumatic brain injury is a public health problem around the world, and recognition of systemic sources of secondary brain lesions is crucial to improve outcome. OBJECTIVE: To identify the main predictors of mortality and to propose a grading scale to measure the risk of death. METHODS: This retrospective study was based on medical records of children with severe traumatic brain injury who were hospitalized at a level I pediatric trauma center between January 2000 and December 2005. Multiple logistic regression analysis was done to identify independent factors related to mortality. A receiver-operating characteristics curve was performed to verify the accuracy of the multiple logistic regression, and associations that increased mortality were verified. RESULTS: We identified 315 children with severe head injury. Median Glasgow Coma Scale score was 6, and median Pediatric Trauma Score was 4. Global mortality rate was 30%, and deaths occurred despite adequate medical management within the first 48 hours in 79% of the patients. Age < 2 years (P = .02), Glasgow Coma Scale ≤ 5 (P < 10), accidental hypothermia (P = .0002), hyperglycemia (P = .0003), and coagulation disorders (P = .02) were all independent factors predicting mortality. A prognostic scale ranging from 0 to 6 that included these independent factors was then calculated for each patient and resulted in mortality rates ranging from 1% with a score of 6 to 100% with a score of 0. CONCLUSION: Independent and modifiable mortality predictors could be identified and used for a new grading scale correlated with the risk of mortality in pediatric traumatic brain injury.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2013-07-03T15:18:20Z No. of bitstreams: 1 00006123-201012000-00020.pdf: 117205 bytes, checksum: ae370d1b7718181f8a8367ac41a62dd2 (MD5)Approved for entry into archive by Flávia Ferreira(flaviaccf@yahoo.com.br) on 2013-08-05T15:53:21Z (GMT) No. of bitstreams: 1 00006123-201012000-00020.pdf: 117205 bytes, checksum: ae370d1b7718181f8a8367ac41a62dd2 (MD5)Made available in DSpace on 2013-08-05T15:53:21Z (GMT). No. of bitstreams: 1 00006123-201012000-00020.pdf: 117205 bytes, checksum: ae370d1b7718181f8a8367ac41a62dd2 (MD5) Previous issue date: 2010-12http://dx.doi.org/10.1227/NEU.0b013e3181fa7049reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBACraniocerebral traumaMortalityPediatricPrognosisMortality in children with severe head trauma: predictive factors and proposal for a new predictive scaleNeurosurgeryinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01enginfo:eu-repo/semantics/openAccessORIGINAL00006123-201012000-00020.pdf00006123-201012000-00020.pdfapplication/pdf117205https://repositorio.ufba.br/bitstream/ri/12462/1/00006123-201012000-00020.pdfae370d1b7718181f8a8367ac41a62dd2MD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/12462/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXT00006123-201012000-00020.pdf.txt00006123-201012000-00020.pdf.txtExtracted texttext/plain34378https://repositorio.ufba.br/bitstream/ri/12462/3/00006123-201012000-00020.pdf.txt453f17d6d7470a754b44d09c95fe0c94MD53ri/124622022-07-05 14:02:51.81oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:02:51Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale
dc.title.alternative.pt_BR.fl_str_mv Neurosurgery
title Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale
spellingShingle Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale
Melo, José Roberto Tude
Craniocerebral trauma
Mortality
Pediatric
Prognosis
title_short Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale
title_full Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale
title_fullStr Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale
title_full_unstemmed Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale
title_sort Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale
author Melo, José Roberto Tude
author_facet Melo, José Roberto Tude
Di Rocco, Federico
Blanot, Stéphane
Oliveira Filho, Jamary
Roujeau, Thomas
Sainte-Rose, Christian
Duracher, Caroline
Vecchione, Antonio
Meyer, Philippe G.
Zerah, Michel
author_role author
author2 Di Rocco, Federico
Blanot, Stéphane
Oliveira Filho, Jamary
Roujeau, Thomas
Sainte-Rose, Christian
Duracher, Caroline
Vecchione, Antonio
Meyer, Philippe G.
Zerah, Michel
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Melo, José Roberto Tude
Di Rocco, Federico
Blanot, Stéphane
Oliveira Filho, Jamary
Roujeau, Thomas
Sainte-Rose, Christian
Duracher, Caroline
Vecchione, Antonio
Meyer, Philippe G.
Zerah, Michel
Melo, José Roberto Tude
Di Rocco, Federico
Blanot, Stéphane
Oliveira Filho, Jamary
Roujeau, Thomas
Sainte-Rose, Christian
Duracher, Caroline
Vecchione, Antonio
Meyer, Philippe G.
Zerah, Michel
dc.subject.por.fl_str_mv Craniocerebral trauma
Mortality
Pediatric
Prognosis
topic Craniocerebral trauma
Mortality
Pediatric
Prognosis
description Texto completo: acesso restrito. p.1542-1547
publishDate 2010
dc.date.issued.fl_str_mv 2010-12
dc.date.accessioned.fl_str_mv 2013-08-05T15:53:21Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/12462
dc.identifier.issn.none.fl_str_mv 0148-396X
dc.identifier.number.pt_BR.fl_str_mv v. 67, n. 6
identifier_str_mv 0148-396X
v. 67, n. 6
url http://www.repositorio.ufba.br/ri/handle/ri/12462
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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