FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to neurosurgery, neurotraumatology. Digitisation of gradation of signs identified at examining the patient is carried out. Gradation of signs are evaluated in points. The total risk score (SUM) is calculated by the formula: SUM = X1 + X2 + X3 + X4, where X1 is the stage of traumatic dislocation syndrome: I stage - 1 point, II stage - 2 points, III stage -3 points, IV stage - 4 points, V stage - 5 points; X2 is the percentage of reduction in average arterial blood pressure (AABP) in the preoperational and operational periods in relation to the original AABP: reduction of less than 10% - 0 points, 10-24% - 1 point, 25-40% - 2 points, more than 40% - 6 points; X3 is the percentage of AABP reduction in the postoperative period in relation to the original with AABP: decline or equal to 10% - 0 points, 11-20% - 1 point, 21% or more - 2 points; X4 is presence of septic complications: No - 0 points, pneumonia - 1 point, meningoencephalitis - 2 points. With the value of SUM is less than 4, a favorable outcome is predicted, and at the value of SUM equal to or more than 4, fatal outcome of severe traumatic brain injury is predicted.
EFFECT: method enables to improve prognosis accuracy and simplify the calculation procedure.
1 tbl, 2 ex
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Authors
Dates
2010-08-27—Published
2009-02-02—Filed