Predictors of outcome in civilians with gunshot wounds to the head upon presentation

摘要: Object Prediction of outcome from initial presentation after a gunshot wound to the head (GSWH) is essential further clinical decision making. The authors' goals are report survival and functional outcomes these patients, identify prognostic factors, propose scoring system that can predict their outcome. Methods records 199 patients admitted with GSWH dural penetration between 1990 2008 were retrospectively reviewed. inclusion criterion was CT scan available for review. Patients declared brain dead on excluded, which yielded series 119 patients. Statistical analysis performed using logistic regression model. Results Fifty-eight (49%) died. Twenty-three (19%) had favorable defined as 6-month Glasgow Outcome Scale (GOS) score moderate disability or good recovery, 35 (29%) poor (GOS persistent vegetative state severe disability), 3 (3%) lost follow-up. Sign...