METHOD predicting the outcomes of severe traumatic brain injury when supratentorial impaction BRAIN

摘要

A method for predicting the outcome of severe craniocerebral injury in supratentorial brain compression comprising a digital coding gradation characteristics identified during examination of the patient and calculation of the digital values ​​of clinical and neurological status, determines prognosis, characterized in that 4 prognostically significant feature, digital values ​​which gradation obtained by constructing classification trees calculated total risk score (SUM) by the formula: SUM = X1 + X2 + X3 + X4, where! X1 - step dislocation traumatic syndrome, which is determined according to the following 5 gradations numerical values: I step - 1 point, II step - 2 points, III Step - 3 points, IV stage - 4 points, V stage - 5 points; ! X2 - The percentage reduction in mean arterial pressure (MAP) in the preoperative and operational periods with respect to the initial Sad, 4 gradations: less than 10% - 0 points 10-24% - 1 point, 25-40% - 2 points, More than 40 % - 6 points; ! X3, - percentage of reduction in the postoperative period Sad with respect to the initial Sad, 3 gradations: ≤10% - 0 points 11-20% - 1 point, 21% or more - 2 points; ! X4 - the presence of purulent complications (pneumonia and meningoencephalitis), 3 gradations: No - 0 points, pneumonia - 1 point, meningoencephalitis - 2 points, a favorable outcome of treatment predict when SUM 4, a fatal - at SUM≥4.