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Titolo:
Reduced mortality after severe head injury will increase the demands for rehabilitation sevices
Autore:
Eker, C; Schalen, W; Asgeirsson, B; Grande, PO; Ranstam, J; Nordstrom, CH;
Indirizzi:
Univ Lund Hosp, Dept Clin Neurosci, S-22185 Lund, Sweden Univ Lund Hosp Lund Sweden S-22185 t Clin Neurosci, S-22185 Lund, Sweden
Titolo Testata:
BRAIN INJURY
fascicolo: 7, volume: 14, anno: 2000,
pagine: 605 - 619
SICI:
0269-9052(200007)14:7<605:RMASHI>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRAUMATIC BRAIN-LESIONS; INTRACRANIAL HYPERTENSION; SOCIAL-ADJUSTMENT; SELF-REPORT; PSYCHIATRIC-ILLNESS; VOLUME REGULATION; THERAPY; DIHYDROERGOTAMINE; RECOVERY; CIRCULATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Eker, C Univ Lund Hosp, Dept Neurosurg, S-22185 Lund, Sweden Univ Lund Hosp Lund Sweden S-22185 urosurg, S-22185 Lund, Sweden
Citazione:
C. Eker et al., "Reduced mortality after severe head injury will increase the demands for rehabilitation sevices", BRAIN INJUR, 14(7), 2000, pp. 605-619

Abstract

Primary objective: In 1989, a new therapy to reduce intracranial pressure in severely head-injured patients was introduced in Lund. The new treatmentreduced mortality significantly. The present study describes the quality of life for the survivor;Methods and procedures: The study includes 53 patients treated during 1989-1994, according to a new treatment protocol for increased intracranial pressure ('Lund concept' group). During 1982-1986, 38 patients were managed according to a protocol including high dose thiopentone ('Thiopentone' group). The two groups are compared regarding neurophysical and psychiatric symptoms as well as aspects regarding the patient's role, performance, interpersonal relationship, frictions, feelings and satisfaction in work, areas of social and leisure activities, and extended family. Results: Mortality was reduced from 47% to 8%, but the number of patients with a persistent vegetative state and/or remaining severe disability did not increase. However, the number of patients with persisting emotional and intellectual deficits increased significantly. Conclusion: The new treatment regime has dramatically increased the numberof survivors after severe head trauma. Although most patients have a favourable outcome, there are more patients with remaining sequelae and disabilities, and the demand for qualified rehabilitation has increased.

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Documento generato il 04/12/20 alle ore 09:04:11