転帰からみた重症頭部外傷の現状：頭部外傷データバンクから

抄録

We analyzed the outcome of the patients who received severe head injury from the Project 2004 in the Japan Neurotrauma Data Bank. Among 1,101 cases registered, 805 cases with Glasgow Coma Scale (GCS) score 8 or less on admission were classified 3 groups including survival-good (SG) group (88 cases in good recovery and 114 cases in moderate disability), survival-poor (SP) group (157 cases in severe disability and 86 cases in vegetative state), and dead (D) group (360 cases in dead) and com­pared with each group.

These results showed the characteristics including age (< 40 years old), GCS (≧6), serum glucose (< 165 mg/dl), and Injury Severity Score (ISS) (< 24) were related with good outcome. Although the factors of age (≧60 years old), GCS (< 4), serum glucose (≧210 mg/dl), and ISS (≧31) were related with critical condition.

We suggest that it is difficult to get good outcome in severe head injured patients, even if the patients were treated in the intensive care units.