Table 2.
GCS score at ICU discharge | 3–6 | 7–9 | 10–12 | 13–15 | Total | p-Value |
---|---|---|---|---|---|---|
Patients (n) | 83 | 46 | 101 | 308 | 538 | |
Predominant lesion (% of patients) | ||||||
Normal CT scan | 3.6 | 0.0 | 2.0 | 6.2 | 4.5 | n.s. |
Diffuse oedema | 3.6 | 4.3 | 3.0 | 2.9 | 3.2 | n.s. |
Subarachnoid haemorrhage | 3.6 | 4.3 | 5.0 | 6.2 | 5.4 | n.s. |
Contusion | 15.7 | 26.1 | 15.8 | 22.1 | 20.3 | n.s. |
Epidural haematoma | 7.2 | 13.0 | 21.8 | 20.1 | 17.8 | <0.05 |
Subdural haematoma | 49.4 | 45.7 | 42.6 | 29.5 | 36.4 | <0.01 |
Intracerebral haemorrhage | 15.7 | 6.5 | 9.9 | 11.7 | 11.5 | n.s. |
Not specified | 1.2 | 0.0 | 0.0 | 1.3 | 0.9 | n.s. |
Treatment | ||||||
Pre-hospital airway management (% of patients) | 77.1 | 63.0 | 65.3 | 55.8 | 61.5 | <0.01 |
Helicopter transport (% of patients) | 25.3 | 15.2 | 15.8 | 20.1 | 19.7 | n.s. |
Direct transfer (% of patients) | 69.9 | 69.6 | 67.3 | 68.2 | 68.4 | n.s. |
ICP monitoring (% of patients) | 67.5 | 69.6 | 53.5 | 40.3 | 49.4 | <0.001 |
Neurosurgery (% of patients) | 72.3 | 78.3 | 72.3 | 54.2 | 62.5 | <0.001 |
Ventilation days (median) | 10.0 | 11.0 | 7.0 | 5.0 | 7.0 | <0.001 |
Ventilation days (IQR) | 7.0–12 | 5.3–20.3 | 3.0–13 | 2.0–13 | 3.0–14 | |
ICU stay (days, median) | 10.0 | 14.0 | 10.0 | 10.0 | 10.0 | <0.001 |
ICU stay (days, IQR) | 9.5–19 | 10–25.5 | 5–20.5 | 4.0–22 | 5.0–21 | |
Hospital stay (days, median) | 27.9 | 28.4 | 21.8 | 18.5 | 21.6 | <0.001 |
Hospital stay (days, IQR) | 16.9–43 | 19.4–54.3 | 15.4–35.6 | 10.7–34.2 | 12.4–38.9 | |
One-year outcome (% of patients) | ||||||
Good recovery | 3.6 | 15.2 | 45.5 | 70.1 | 50.6 | <0.001 |
Moderate disability | 6.0 | 21.7 | 37.6 | 23.1 | 23.0 | <0.001 |
Severe disability | 20.5 | 15.2 | 11.9 | 3.9 | 8.9 | <0.001 |
Persistent vegetative | 25.3 | 23.9 | 0.0 | 0.0 | 5.9 | <0.001 |
Death | 44.6 | 23.9 | 5.0 | 2.9 | 11.5 | <0.001 |
Favourable outcome | 9.6 | 37.0 | 83.2 | 93.2 | 73.6 | <0.001 |
GCS Glasgow Coma Scale, ICU intensive care unit, ICP intracranial pressure, IQR interquartile range