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[Outcome prognosis in severe craniocerebral trauma: important predictors in the early phase]
M Kaufmann1, D Scheidegger, S Strebel
1Departement Anästhesie und Intensivmedizin, Universität Basel, Kantonsspital.
Abstract:
An early prognosis may influence the management of severely head-injured patients. Clinical aspects (age, Glasgow Coma Score, pupil reaction) and neuroradiological findings (basal cysternes, midline shift) are the most important facts for prognosis; evoked potentials, stress parameters and the quality of resuscitation also correlate with definitive outcome. Despite a clear correlation between these single factors and outcome, prognosis during the first 48 hours remains too uncertain to justify an influence on initial management.