Mean values for Glasgow Coma Scale, Pediatric Trauma Score, and Injury Severity Score were 6 (3–8), 3 (−4,10), and 28 (4–75), respectively. Mortality rate was 22%; Glasgow Outcome Scale was 60% at 6 months. Multivariate analysis identified Glasgow Coma Scale, Injury Severity. Impact of Glasgow Coma Scale score and pupil parameters on mortality rate and outcome in pediatric and adult severe traumatic brain injury: a. The aim of this study was to evaluate, by using pupillary status and Glasgow Coma Scale (GCS) score, if patients with severe TBI who are ≤ 15 years old have a.
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Objective: To describe the results of an integrated pre- and in-hospital approach to critical care in a large population of children with severe traumatic brain injury and to identify the early predictors of their outcome. Design: A 9-yr retrospective review of the data of a trauma data bank. Setting: Level III pediatric trauma center. Patients: All children (1 month to 15 yrs) with severe traumatic brain injury (Glasgow Coma Scale ≤8) hospitalized in our trauma center and followed until death or for ≥6 months after discharge. Measurements and Main Results: Univariate and further multivariate analyses were performed to determine independent predictive factors of death and outcome at discharge and 6 months later.