Abstract:
OBJECTIVE:Despite several limitations, the Trauma Injury Severity Score (TRISS) is normally used to evaluate trauma systems. The aim of this study was to evaluate the preventable trauma death rate using the TRISS method in severe trauma patients with traumatic brain injury using our emergency department data. METHODS:The use of the TRISS formula has been suggested to consider definitively preventable death (DP); the deaths occurred with a probability of survival (Ps) higher than 0.50 and possible preventable death (PP); the deaths occurred with a Ps between 0.50 and 0.25. Deaths in patients with a calculated Ps of less than 0.25 is considered as no-preventable death (NP). A retrospective case review of deaths attributed to mechanical trauma occurring between January 1, 2011 and December 31, 2011 was conducted. RESULTS:A total of 565 consecutive severe trauma patients with ISS>15 or Revised Trauma Score<7 were admitted in our institute. We excluded a total of 24 patients from our analysis : 22 patients younger than 15 years, and 2 patients with burned injury. Of these, 221 patients with head injury were analyzed in the final study. One hundred eighty-two patients were in DP, 13 in PP and 24 in NP. The calculated predicted mortality rates were 11.13%, 59.04%, and 90.09%. The actual mortality rates were 12.64%, 61.547%, and 91.67%, respectively. CONCLUSION:Although it needs to make some improvements, the present study showed that TRISS performed well in predicting survival of traumatic brain injured patients. Also, TRISS is relatively exact and acceptable compared with actual data, as a simple and time-saving method.
journal_name
J Korean Neurosurg Socjournal_title
Journal of Korean Neurosurgical Societyauthors
Moon JH,Seo BR,Jang JW,Lee JK,Moon HSdoi
10.3340/jkns.2013.54.1.42subject
Has Abstractpub_date
2013-07-01 00:00:00pages
42-6issue
1eissn
2005-3711issn
1598-7876journal_volume
54pub_type
杂志文章abstract:OBJECTIVE:The aim of this study was to evaluate the efficacy of endovascular therapy as a primary treatment for spinal dural arteriovenous fistula (DAVF). METHODS:The authors reviewed 18 patients with spinal DAVFs for whom endovascular therapy was considered as an initial treatment at a single institute between 1993 a...
journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
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更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:The clinical and pathological characteristics of 10 cases of cerebral amyloid angiopathy (CAA)-related cerebral lobar hemorrhage (CLH) that was diagnosed at autopsy were investigated to facilitate the diagnosis of this condition. METHODS:The clinical characteristics of 10 cases of CAA-related CLH were retros...
journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
doi:10.3340/jkns.2015.58.1.30
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:This study was performed to determine the anatomical landmarks and optimal dissection points of the facial nerve (FN) and the hypoglossal nerve (HGN) in the submandibular region to provide guidance for hypoglossal-facial nerve anastomosis (HFNA). METHODS:Twenty-nine specimens were obtained from 15 formalin-f...
journal_title:Journal of Korean Neurosurgical Society
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abstract::The intra-arterial administration of nimodipine (IAN) is commonly used for cerebral vasospasm refractory to medical treatments. We report two cases of vasogenic edema after IAN. Our patients with aneurismal subarachnoid hemorrhage presented with vasospasm, which was treated by IAN. Consequently, vasogenic edema develo...
journal_title:Journal of Korean Neurosurgical Society
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doi:10.3340/jkns.2011.49.2.112
更新日期:2011-02-01 00:00:00
abstract::Oblique basal skull fractures resulting from lateral crushing injuries involving both clivus and occipital condyle are rare due to their deep locations. Furthermore, these fractures may present clinically with multiple cranial nerve injuries because neural exit routes are restricted in this intricate region. The autho...
journal_title:Journal of Korean Neurosurgical Society
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doi:10.3340/jkns.2012.51.5.305
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:Discal cyst is rare and causes indistinguishable symptoms from lumbar disc herniation. The clinical manifestations and pathological features of discal cyst have not yet been completely known. Discal cyst has been treated with surgery or with direct intervention such as computed tomography (CT) guided aspirati...
journal_title:Journal of Korean Neurosurgical Society
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doi:10.3340/jkns.2012.51.4.208
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:A groove technique for securing an electrode connector was described as an alternative surgical technique in deep brain stimulation (DBS) surgery to avoid electrode connector-related complications, such as skin erosion, infection, and migration. METHODS:We retrospectively reviewed 109 patients undergoing one...
journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
doi:10.3340/jkns.2014.56.2.130
更新日期:2014-08-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
doi:10.3340/jkns.2016.59.3.276
更新日期:2016-05-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
doi:10.3340/jkns.2008.43.2.85
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journal_title:Journal of Korean Neurosurgical Society
pub_type:
doi:10.3340/jkns.2014.56.5.419
更新日期:2014-11-01 00:00:00
abstract::The 5-aminolevulinic acid (5-ALA)-induced tumor fluorescence is a useful intraoperative marker for the diagnosis and the detection of various malignancies, but its use in meningioma is only reported infrequently. In meningioma, a complete resection of the tumor mass is crucial for the prevention of recurrence and post...
journal_title:Journal of Korean Neurosurgical Society
pub_type:
doi:10.3340/jkns.2012.52.6.558
更新日期:2012-12-01 00:00:00
abstract::Diffuse intrinsic pontine glioma (DIPG) is a deadly paediatric brain cancer. Transient response to radiation, ineffective chemotherapeutic agents and aggressive biology result in rapid progression of symptoms and a dismal prognosis. Increased availability of tumour tissue has enabled the identification of histone gene...
journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章,评审
doi:10.3340/jkns.2018.0008
更新日期:2018-05-01 00:00:00
abstract::Cerebellar hemorrhage is an unusual complication of supratentorial neurosurgery. To the best of our knowledge, only three case reports have described the occurrence of cerebellar hemorrhage after burr hole drainage for the treatment of chronic subdural hematoma (SDH). We present the case of a patient with this rare po...
journal_title:Journal of Korean Neurosurgical Society
pub_type:
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更新日期:2009-12-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
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更新日期:2012-06-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
doi:10.3340/jkns.2010.48.5.429
更新日期:2010-11-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
doi:10.3340/jkns.2016.59.1.6
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
doi:10.3340/jkns.2007.42.5.363
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
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journal_title:Journal of Korean Neurosurgical Society
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章,评审
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更新日期:2018-01-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
pub_type:
doi:10.3340/jkns.2012.52.3.246
更新日期:2012-09-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
pub_type: 杂志文章
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journal_title:Journal of Korean Neurosurgical Society
pub_type:
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更新日期:2015-08-01 00:00:00
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journal_title:Journal of Korean Neurosurgical Society
pub_type:
doi:10.3340/jkns.2009.45.3.176
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