The Japan Neurotrauma Data Bank was started in 1997, with the objective of being an epidemiological database of cases involving severe neurotrauma in Japan. So far, large-scale studies have been carried out in Projects in 1998, 2004 and 2009. The Japan Neurotrauma Data Bank (Project 2009) is a large-scale research project by the Japan Neurotrauma Association, involving a total of 1091 registered patients, in which 22 facilities from across the country participated over two years from July 1, 2009 to June 30, 2011, targeting cases with patients of all ages, including 0 years, with GCS 8 or lower at the time the patient came to the hospital, or with a decrease to GCS 8 with the passage of time. In this paper, we statistically considered the nature of the relationship between the physiological parameters at the time the patient came to the hospital for severe neurotrauma suffered in a traffic accident, and the outcome. Here, the injury was sustained in a traffic accident, so for the 436 patients for which the 7 physiological parameters below could be tracked, we statistically analyzed the matter of whether the presence of each physiological parameter is correlated with the outcome at the time of hospital discharge (Glasgow Outcome Scale), and report on the results of that study. [Physiological parameters: (1) Oxygenation: PaO
2<60mmHg, (2) Systolic blood pressure: 90mmHg or lower, 160mmHg or higher, (3) Ventilation state PaCO
2: 35mmHg or lower, 45mmHg or higher, (4) Temperature: 36 degrees or lower, (5) Hyperglycemia: 200mg/dl or higher, (6) Presence of multiple injuries, (7) Presence of inserted intracranial pressure (ICP) monitor]
View full abstract