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Original Article

Analysis of Associated Injuries Medical Problems in the Adult with Traumatic Brain Injury

Journal of the Korean Academy of Rehabilitation Medicine 1994;18(1):6-0.
Department of Rehabilitation Medicine, Han Yang University College of Medicine
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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.

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