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  • Prognosis  (2)
  • Key words Head injury  (1)
  • Skin stretching device  (1)
  • Treatment  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Severe head injuries: an outcome prediction and survival analysis (1996)
    Springer
    Intensive care medicine 22 (1996), S. 1391-1395 
    Details
    ISSN: 1432-1238
    Keywords: Key words Head injury ; Prognosis ; Trauma severity ; Grading system ; Logistic regression model ; Cox regression analysis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective: To identify the predictors determined early after admission and associated with unfavorable outcome or early (within 48 h) death after severe head injury. Design: Prospective cohort study. Setting: A neurosurgical intensive care unit in a university hospital. Patients: 198 consecutive comatose patients hospitalized from 1989 to 1992. Results: Logistic regression showed that a combination of age, best motor response score from the Glasgow Coma Scale, and hypoxia provided a good prediction model of unfavorable outcome (sensitivity=0.93). The length of participation of survivors was 6 to 61 months (median 27.1). The Cox model demonstrated age, motor score less than 3, mydriasis, and hypoxia as poor prognosis factors. Conclusions: Clinicians can determine the odds of a good outcome from the combination of three easily measurable factors using a simple diagram constructed from logistic regression. Survival analysis showed that motor score adjusted values greater than 3 had the same prognosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01709556
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Severe head injuries: An outcome prediction and survival analysis (1996)
    Springer
    Intensive care medicine 22 (1996), S. 1391-1395 
    Details
    ISSN: 1432-1238
    Keywords: Head injury ; Prognosis ; Trauma severity ; Grading system ; Logistic regression model ; Cox regression analysis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective To identify the predictors determined early after admission and associated with unfavorable outcome or early (within 48 h) death after severe head injury. Design Prospective cohort study. Setting A neurosurgical intensive care unit in a university hospital. Patients 198 consecutive comatose patients hospitalized from 1989 to 1992. Results Logistic regression showed that a combination of age, best motor response score from the Glasgow Coma Scale, and hypoxia provided a good prediction model of unfavorable outcome (sensitivity=0.93). The length of participation of survivors was 6 to 61 months (median 27.1). The Cox model demonstrated age, motor score less than 3, mydriasis, and hypoxia as poor prognosis factors. Conclusions Clinicians can determine the odds of a good outcome from the combination of three easily measurable factors using a simple diagram constructed from logistic regression. Survival analysis showed that motor score adjusted values greater than 3 had the same prognosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01709556
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Malignant change in giant congenital nevocellular nevi: our experience (1994)
    Springer
    European journal of plastic surgery 17 (1994), S. 138-141 
    Details
    ISSN: 1435-0130
    Keywords: Giant nevus ; Melanoma ; Treatment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We present our experience in the surgical management of giant congenital nevocellular nevi (GCNN's). From 1983 to 1992, 13 cases were treated of which 11 were children and 2 were adults. The size of the lesions ranged between 3 and 60% of the body surface. All these patients underwent excision and skin grafting. In 6 cases, skin expansion was used. The patients were seen subsequently every 6 months with a 12 months minimum follow-up. In 2 pediatric patients, malignant degeneration of the lesion occurred: in the first case, a highly invasive nodular melanoma, in the second case, a lesion corresponding to minimal deviation melanoma. Our personal experience has shifted our attitude to the treatment of GCNN to a more aggressive approach. Early and radical excision of all the lesion is currently our first priority; esthetic refinements by means of skin expansion or other techniques are now delayed to subsequent procedures.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00178679
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    Experience with the skin stretching device (1996)
    Springer
    European journal of plastic surgery 19 (1996), S. 63-68 
    Details
    ISSN: 1435-0130
    Keywords: Wound repair ; Skin biomechanical properties ; Skin stretching device
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The skin stretching device was designed to harness the biomechanical properties of the skin in order to close large cutaneous defects by direct closure, without the need of other more complicated techniques such as skin grafts or flaps. The authors present their experience with 31 patients in whom the device was used to repair defects produced by excision of lesions of different nature, size, and body areas, six cases are presented. The main defect of the method, i.e. the increase of intraoperative time to allow for tissue stretching, should be avoidable most of the time by applying the device preoperatively under local anesthesia. The importance of not undermining during this procedure is stressed; the objective parameters to evaluate are analyzed, such as colour and tension of the skin. The complication rate was very acceptable, there was only one infection and one marginal necrosis that healed without further interventions. The described technique appears safe and easy to perform, and produces a good short-term result.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00207916
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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