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What Neurologists Know About Outcome in Traumatic Brain Injury and What Other Physicians Want to Know 

What Neurologists Know About Outcome in Traumatic Brain Injury and What Other Physicians Want to Know
Chapter:
What Neurologists Know About Outcome in Traumatic Brain Injury and What Other Physicians Want to Know
Source:
Neurocritical Care (2 ed.)
Author(s):

Eelco F. M. Wijdicks

, Alejandro A. Rabinstein

, Sara E. Hocker

, and Jennifer E. Fugate

DOI:
10.1093/med/9780190602659.003.0040

Statistical prognostic models have been developed in traumatic brain injury and future disability can be predicted with some certainty. For example, half of comatose patients with severe traumatic brain injury will improve significantly over 6 months. How does this all work in practice, and do clinicians use this information in discussions with family members? The pitfalls, uncertainties, and major reservations in prognostication are discussed in this chapter. Heterogeneity of traumatic brain injury limits prognostication, and prognostication is particularly challenging in young patients. Impact of intracranial pressure monitoring on the outcome of traumatic brain injury is uncertain. Cognitive impairment, depression, and agitation are major causes of decreased functional independence after severe traumatic brain injury.

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