Včasný a neskorší osud pacientov po ťažkom poškodení mozgu

The early and later survival time after the serious brain injury

The authors have analyzed patient time survival after serious brain injuries. The group of 83 comatose patients has included 27 after traumaticinjury, 21 after spontaneous brain haemorrhage, and 35 after hypoxic-ischemic injury. An early letality rate, since the comatose state onset till then 2days was 39.75% (n = 33).All 33 dead subjects have had GCS = 3 points. It has further shown later letality rate in the postraumatic injury group 47%, in the spontaneoushaemorrhagic 36.36% and in the hypoxic-ischemic brain injury group 36.36%.It could be considered a trend index letality rate in particular 3 diagnostic patient’s groups. Quality survival evaluation by family members afterpatient dissmission from Clinic Anaesthesiology and Resuscitation does not correlate to the GCS at admission to or dissmission of the clinic.

Key words:
neurocytoprotection –⁠ serious head injury –⁠ brain hemorrhage –⁠ hypoxic-ischemic brain damage –⁠ coma