Predictive value of initial intracranial pressure for the prognosis of patients with traumatic brain injury

<p>This paper aims to investigate the predictive value of initial intracranial pressure (ICP) for the prognosis of patients with traumatic brain injury (TBI). A prospective observational study was conducted in 118 TBI patients with ICP monitoring. The initial ICP [receiver operating charact...

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Main Authors: Guang-hui REN, Jian YANG, Hua LIU
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2014-08-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/1022
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author Guang-hui REN
Jian YANG
Hua LIU
author_facet Guang-hui REN
Jian YANG
Hua LIU
author_sort Guang-hui REN
collection DOAJ
description <p>This paper aims to investigate the predictive value of initial intracranial pressure (ICP) for the prognosis of patients with traumatic brain injury (TBI). A prospective observational study was conducted in 118 TBI patients with ICP monitoring. The initial ICP [receiver operating characteristic (ROC) area = 0.725; 95%CI: 0.635-0.815] was similar to admission Glasgow Coma Scale (GCS; ROC area = 0.716; 95% CI: 0.616-0.816) or Marshall classification (ROC area = 0.690; 95% CI: 0.593-0.787) in predicting the prognosis of TBI patients. A Logistic regression analysis showed that initial ICP was associated with poor prognosis in TBI patients (<em>OR</em> = 0.943, 95%CI: 0.899-0.988; <em>P</em> = 0.014). The initial ICP in TBI patients could be used as an independent predictor of TBI patients' outcomes.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.08.015</p>
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spelling doaj.art-d931647c8f4847f5ab72f7f434bb6e912022-12-21T21:14:26ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312014-08-011487267291018Predictive value of initial intracranial pressure for the prognosis of patients with traumatic brain injuryGuang-hui REN0Jian YANG1Hua LIU2Department of Neurosurgery, Kunshan Hospital Affiliated to Jiangsu University, Kunshan 215300, Jiangsu, ChinaDepartment of Neurosurgery, Kunshan Hospital Affiliated to Jiangsu University, Kunshan 215300, Jiangsu, ChinaDepartment of Neurosurgery, Kunshan Hospital Affiliated to Jiangsu University, Kunshan 215300, Jiangsu, China<p>This paper aims to investigate the predictive value of initial intracranial pressure (ICP) for the prognosis of patients with traumatic brain injury (TBI). A prospective observational study was conducted in 118 TBI patients with ICP monitoring. The initial ICP [receiver operating characteristic (ROC) area = 0.725; 95%CI: 0.635-0.815] was similar to admission Glasgow Coma Scale (GCS; ROC area = 0.716; 95% CI: 0.616-0.816) or Marshall classification (ROC area = 0.690; 95% CI: 0.593-0.787) in predicting the prognosis of TBI patients. A Logistic regression analysis showed that initial ICP was associated with poor prognosis in TBI patients (<em>OR</em> = 0.943, 95%CI: 0.899-0.988; <em>P</em> = 0.014). The initial ICP in TBI patients could be used as an independent predictor of TBI patients' outcomes.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.08.015</p>http://www.cjcnn.org/index.php/cjcnn/article/view/1022Intracranial pressureCraniocerebral traumaPrognosis
spellingShingle Guang-hui REN
Jian YANG
Hua LIU
Predictive value of initial intracranial pressure for the prognosis of patients with traumatic brain injury
Chinese Journal of Contemporary Neurology and Neurosurgery
Intracranial pressure
Craniocerebral trauma
Prognosis
title Predictive value of initial intracranial pressure for the prognosis of patients with traumatic brain injury
title_full Predictive value of initial intracranial pressure for the prognosis of patients with traumatic brain injury
title_fullStr Predictive value of initial intracranial pressure for the prognosis of patients with traumatic brain injury
title_full_unstemmed Predictive value of initial intracranial pressure for the prognosis of patients with traumatic brain injury
title_short Predictive value of initial intracranial pressure for the prognosis of patients with traumatic brain injury
title_sort predictive value of initial intracranial pressure for the prognosis of patients with traumatic brain injury
topic Intracranial pressure
Craniocerebral trauma
Prognosis
url http://www.cjcnn.org/index.php/cjcnn/article/view/1022
work_keys_str_mv AT guanghuiren predictivevalueofinitialintracranialpressurefortheprognosisofpatientswithtraumaticbraininjury
AT jianyang predictivevalueofinitialintracranialpressurefortheprognosisofpatientswithtraumaticbraininjury
AT hualiu predictivevalueofinitialintracranialpressurefortheprognosisofpatientswithtraumaticbraininjury