Added: Ronny Galindo - Date: 22.12.2021 03:15 - Views: 12375 - Clicks: 7228
New research adds to a body of evidence indicating decisions about withdrawing life-sustaining treatment for patients with moderate-to-severe traumatic brain injury TBI should not be made in the early days following injury. They found that among the patients in a vegetative state, 1 in 4 "regained orientation" -- meaning they knew who they were, their location and the date -- within 12 months of their injury. All patients were 17 and older and had presented to hospitals with level 1 trauma centers within 24 hours of injury. The patients, whose average ages were 35 in the severe TBI group 78 percent males and 38 in the moderate TBI group 80 percent maleswere assessed using the Glasgow Outcomes Scale Extended GOSEwhich ranges from 1 for death to 8 for "upper good recovery" and resumption of normal life.
At two weeks post-injury, 93 percent of the severe TBI group and 79 percent of the moderate TBI group had moderate-to-severe disability, according to the DRS, and 80 percent had GOSE scores from 2 to 3, meaning they required assistance in basic everyday functioning. But by 12 months, half of the severe TBI group and three-quarters of the moderate TBI group had GOSE scores of at least 4, indicating they could function independently at home for at least eight hours per day. Moreover, 19 percent of the severe TBI group had no disability, according to the DRS, and a further 14 percent had only mild injury, the researchers noted.
Most surprising were the findings for the 62 surviving patients who had been in a vegetative state, defined as a chronic state of brain dysfunction in which a person shows no s of awareness. All patients had recovered consciousness by the month mark and 14 out of the 56 with available data 1 in 4 had regained orientation. All but one survivor in this group recovered at least basic communication ability.
The study follows research that shows a ificant percentage of patients with grave impairments achieve favorable natalie mars machine many months or years later. This research, led by Giacino, coincided with the recommendation in from the American Academy of Neurology that in the first 28 days after injury, clinicians should refrain from telling families that a patient's prognosis is beyond hope.
The study was supported by grants from the U. Materials provided by University of California - San Francisco. Original written by Suzanne Leigh.
Note: Content may be edited for style and length. Science News. Journal Reference : Michael A. McCrea, Joseph T. Giacino, Jason Barber, Nancy R. Temkin, Lindsay D. Nelson, Harvey S. Bodien, Kim Boase, Sabrina R. Okonkwo, Amy J. Markowitz, Geoffrey T. Ramana Feeser, Adam R. Dirk Keene, Frederick K. Yue, Esther Yuh, Ross Zafonte.
ScienceDaily, 20 July University of California - San Francisco. Long-term prognosis for some patients with severe brain injury better than expected, study finds: Surprising recoveries months later may prompt physicians to delay life-support discussions. Retrieved July 22, from www. There is no treatment. In new research, scientists Patients often recover. But in the days or weeks following the hit, they can ScienceDaily shares links with sites in the TrendMD network and earns revenue from third-party advertisers, where indicated. Print Share. It's in the Father's Genes.
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