Predictive value of initial intracranial pressure for the prognosis of patients with traumatic brain injury

• Main Authors: Guang-hui REN, Jian YANG, Hua LIU
• Format: Article
• Language: English
• Published: Tianjin Huanhu Hospital 2014-08-01
• Series: Chinese Journal of Contemporary Neurology and Neurosurgery
• Subjects: Intracranial pressure; Craniocerebral trauma; Prognosis
• Online Access: http://www.cjcnn.org/index.php/cjcnn/article/view/1022

<p>This paper aims to investigate the predictive value of initial intracranial pressure (ICP) for the prognosis of patients with traumatic brain injury (TBI). A prospective observational study was conducted in 118 TBI patients with ICP monitoring. The initial ICP [receiver operating characteristic (ROC) area = 0.725; 95%CI: 0.635-0.815] was similar to admission Glasgow Coma Scale (GCS; ROC area = 0.716; 95% CI: 0.616-0.816) or Marshall classification (ROC area = 0.690; 95% CI: 0.593-0.787) in predicting the prognosis of TBI patients. A Logistic regression analysis showed that initial ICP was associated with poor prognosis in TBI patients (<em>OR</em> = 0.943, 95%CI: 0.899-0.988; <em>P</em> = 0.014). The initial ICP in TBI patients could be used as an independent predictor of TBI patients' outcomes.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.08.015</p>