Relative risk of deterioration after mild closed head injury

S. T. Lee, T. N. Liu, C. W. Wong, Y. S. Yeh, W. C. Tzaan

研究成果: 雜誌貢獻文章同行評審

33 引文 斯高帕斯(Scopus)


In this prospective study, a series of 1812 consecutive mild head injured adult patients who visited the hospital emergency department were assessed. Twenty-eight patients (1.5%) deteriorated after head injury; 23 of these (1.3% of the series) required surgical intervention. Five patients (0.3%) deteriorated due to non-surgical causes [post-traumatic seizure 2, syndrome of inapproapriate secretion of antidiuretic hormone (SIADH) 3]. Most of the deterioration occurred within the first 24 hours (57%). Post-traumatic headache was found in 280 patients (15.5%) and 84 patients (4.6%) suffered post-traumatic vomiting. The relative risk is calculated. Age over 60, presence of drowsiness, focal motor weakness, post-traumatic headache and vomiting has increased risk of deterioration (p <0.001). This study suggests that post-traumatic headache and vomiting deserve more clinical attention rather than being considered as post-traumatic syndrome only.

頁(從 - 到)136-140
期刊Acta Neurochirurgica
出版狀態已發佈 - 9月 1995

ASJC Scopus subject areas

  • 手術
  • 神經病學(臨床)


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