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Article: Functional survival after acute care for severe head injury at a designated trauma center in Hong Kong

TitleFunctional survival after acute care for severe head injury at a designated trauma center in Hong Kong
Authors
KeywordsFunctional survival
Neurorehabilitation
Severe head injury
Trauma
Issue Date2012
PublisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#description
Citation
Asian Journal of Surgery, 2012, v. 35 n. 3, p. 117-122 How to Cite?
AbstractBACKGROUND: Severe head injury is known to be a major cause of early mortalities and morbidities. Patients' long-term outcome after acute care, however, has not been widely studied. We aim to review the outcome of severely head-injured patients after discharge from acute care at a designated trauma center in Hong Kong. MATERIALS AND METHODS: This is a retrospective study of prospectively collected data of patients admitted with severe head injuries between 2004 and 2008. Patients' functional status post-discharge was assessed using the Extended Glasgow Outcome Score (GOSE). RESULTS: Of a total of 1565 trauma patients, 116 had severe head injuries and 41 of them survived acute hospital care. Upon the last follow-up, 23 (56.1%) of the acute-care survivors had improvements in their GOSE, six (11.8%) experienced deteriorations, and 12 (23.5%) did not exhibit any change. The greatest improvement was observed in patients with GOSE of 5 and 6 upon discharge, but two of the 16 patients with GOSE 2 or 3 also had a good recovery. On logistic regression analysis, old age and prolonged acute hospital stay were found to be independent predictors of poor functional outcome after a mean follow-up duration of 42 months. CONCLUSION: Multidisciplinary neurorehabilitation service is an important component of comprehensive trauma care. Despite significant early mortalities, a proportion of severely head-injured patients who survive acute care may achieve good long-term functional recovery.
Persistent Identifierhttp://hdl.handle.net/10722/159948
ISSN
2015 Impact Factor: 0.912
2015 SCImago Journal Rankings: 0.427
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTaw, BBTen_HK
dc.contributor.authorLam, ACSen_HK
dc.contributor.authorHo, FLYen_HK
dc.contributor.authorHung, KNen_HK
dc.contributor.authorLui, WMen_HK
dc.contributor.authorLeung, GKKen_HK
dc.date.accessioned2012-08-16T05:59:43Z-
dc.date.available2012-08-16T05:59:43Z-
dc.date.issued2012en_HK
dc.identifier.citationAsian Journal of Surgery, 2012, v. 35 n. 3, p. 117-122en_HK
dc.identifier.issn1015-9584en_HK
dc.identifier.urihttp://hdl.handle.net/10722/159948-
dc.description.abstractBACKGROUND: Severe head injury is known to be a major cause of early mortalities and morbidities. Patients' long-term outcome after acute care, however, has not been widely studied. We aim to review the outcome of severely head-injured patients after discharge from acute care at a designated trauma center in Hong Kong. MATERIALS AND METHODS: This is a retrospective study of prospectively collected data of patients admitted with severe head injuries between 2004 and 2008. Patients' functional status post-discharge was assessed using the Extended Glasgow Outcome Score (GOSE). RESULTS: Of a total of 1565 trauma patients, 116 had severe head injuries and 41 of them survived acute hospital care. Upon the last follow-up, 23 (56.1%) of the acute-care survivors had improvements in their GOSE, six (11.8%) experienced deteriorations, and 12 (23.5%) did not exhibit any change. The greatest improvement was observed in patients with GOSE of 5 and 6 upon discharge, but two of the 16 patients with GOSE 2 or 3 also had a good recovery. On logistic regression analysis, old age and prolonged acute hospital stay were found to be independent predictors of poor functional outcome after a mean follow-up duration of 42 months. CONCLUSION: Multidisciplinary neurorehabilitation service is an important component of comprehensive trauma care. Despite significant early mortalities, a proportion of severely head-injured patients who survive acute care may achieve good long-term functional recovery.en_HK
dc.languageengen_US
dc.publisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#descriptionen_HK
dc.relation.ispartofAsian Journal of Surgeryen_HK
dc.subjectFunctional survivalen_HK
dc.subjectNeurorehabilitationen_HK
dc.subjectSevere head injuryen_HK
dc.subjectTraumaen_HK
dc.titleFunctional survival after acute care for severe head injury at a designated trauma center in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.emailHung, KN: hungkn@hkucc.hku.hken_HK
dc.identifier.emailLui, WM: mattlui@hku.hk-
dc.identifier.emailLeung, GKK: gilberto@hkucc.hku.hk-
dc.identifier.authorityLeung, GKK=rp00522en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.asjsur.2012.04.027en_HK
dc.identifier.pmid22884269-
dc.identifier.scopuseid_2-s2.0-84864696118en_HK
dc.identifier.hkuros204722en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84864696118&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume35en_HK
dc.identifier.issue3en_HK
dc.identifier.spage117en_HK
dc.identifier.epage122en_HK
dc.identifier.isiWOS:000308622800005-
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridLeung, GKK=35965118200en_HK
dc.identifier.scopusauthoridLui, WM=7101851125en_HK
dc.identifier.scopusauthoridHung, KN=7202728375en_HK
dc.identifier.scopusauthoridHo, FLY=55237854300en_HK
dc.identifier.scopusauthoridLam, ACS=55237476000en_HK
dc.identifier.scopusauthoridTaw, BBT=18434973000en_HK

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