Author(s): Piek J
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Abstract Virtually any medical complication can occur during the post-traumatic course of an individual patient with a severe head injury (SHI). Although recovery of an individual patient can be adversely influenced by any of these medical complications, only a few selected complications have been proven to be independent predictors of an unfavorable outcome. The most frequent medical complications in SHI patients include disturbances of serum electrolytes (60\%) and blood coagulation (18\%), pneumonia (40\%), and septicemia (10\%). Hypotension is also common, occurring both prehospital and inhospital at a frequency of 29\% and 22\%, respectively. These factors are statistically independent predictors of poor outcome in SHI patients. It has been suggested that elimination of these frequent complications might result in a 7.5\% reduction of unfavorable outcome in this patient group.
This article was published in New Horiz
and referenced in Internal Medicine: Open Access