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Journal of the Korean Academy of Rehabilitation Medicine 1994;18(1):6.
Analysis of Associated Injuries Medical Problems in the Adult with Traumatic Brain Injury
Soon Ho Kueon, M.D. , Kang Mok Lee, M.D.
Department of Rehabilitation Medicine, Han Yang University College of Medicine
성인 외상성 뇌손상 환자에서의 동반손상 및 합병증에 대한 고찰
권순호, 이강목
한양대학교 의과대학 재활의학교실
Abstract

One hundred and sixty two patients with traumatic brain injury (TBI) were evaluated for associated injuries and medical problems.

1) Associated injuries in the TBI were as follows: facial bone fractures were 24.7%, limb fractures 15.4%, rib fractures 10.5%, vertebral fractures 6.8%, visceral injuries 3.1%, and genitourinary injuries 1.9%.

2) Medical problems in the TBI were noted: neurogenic (32.1%), gastrointestinal (25.3%), respiratory (21.0%), musculoskeletal (21.0%), genitourinary (17.3%) and cardiovascular (3.7%) problems were encountered frequently.

3) The case were that Glasgow Coma Scale (GCS) score was 60.4%, 9∼12 was 13% and 3∼8 was 26.5%. There were a significant difference of the mean hospital days among three groups as each 42.6 days, 106.8 days and 291.2 days (p<0.05).

4) The mean hospital days was 28.6 days accompanying of complication when the group having GCS score's 13∼15, 28.6 days when no complication 173.6 days accompanying of complication when the group being on 9∼12, 49 days when no complication, and 302.4 days accompanying of complication when the score of group having 3∼8, 223.3 days when no complication. But it showed significant difference on the group that the score was 9∼12 dependent on existence of complication (p<0.05).

5) It showed a good recovery at 93.8% of group that GCS score's 13∼15 and a death at 39.5% of group that 3∼8 score. The group which had the higher GCS score will have the better prognosis.

Key Words: Traumatic brain injury, Associated injury, Medical problem


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