We screened all head-injured trauma patients admitted to Lehigh Valley Hospital during a 2-year period.
From 725 screened patients, 69 patients in a coma on the second day after trauma were entered into this study.
During the first week, these patients underwent electroencephalography (EEG), evoked potentials, ocular pneumoplethysmography, and transcranial Doppler (TCD) sonography.
Clinical examinations were undertaken 2 and 7 days after trauma.
Test results were correlated with functional clinical outcome at 6 months.
In a multiple regression analysis, EEG was the major independent variable that significantly predicted 6-month outcome based on Glasgow Outcome Scale score.
Transcranial Doppler sonography contributed a small additional component.
Though EEG was the most significant predictive factor in this neurophysiological battery, it did not add significantly to the predictive power of Glasgow Coma Scale score determined at day 7. These findings suggest that neurophysiologic testing in this type of patient is not useful in improving predictive outcome data.
Mots-clés Pascal : Traumatisme, Crânioencéphalique, Prévalence, Etiologie, Evaluation, Lésion, Evolution, Etude statistique, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Système ostéoarticulaire pathologie, Crâne pathologie
Mots-clés Pascal anglais : Trauma, Craniocerebral, Prevalence, Etiology, Evaluation, Lesion, Evolution, Statistical study, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Diseases of the osteoarticular system, Skull disease
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0229675
Code Inist : 002B16B. Création : 199608.