Linked Life Data

17433688

Source:http://linkedlifedata.com/resource/pubmed/id/17433688

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2007-5-28
pubmed:abstractText
'Talk and die patients' describes a small number of patients who present with a mild head injury (Glasgow Coma Scale [GCS] 13-15) and then subsequently deteriorate and die from intracranial causes. We analysed the medical records of all those adult patients whose primary diagnosis as the cause of death was head injury, as determined by the coroner, who were admitted to a major Australian trauma centre between January 1994 and December 2003 (a 10-year period). The clinical profile of those patients who fulfilled the criteria of 'talk and die' were documented, including age, mode of injury, initial GCS, lucid interval, CT scan reports, operation performed, post mortem findings and intracranial cause of death. Factors considered potentially contributory to the patients' deterioration, such as delays in CT scanning or patient transfer, coagulopathy or hypoxic episodes were also noted. The incidence of 'talk and die' patients was 2.6% (15 out of 569) overall and the annual incidence did not significantly alter over the 10-year period of the study. The small number of patients precludes inferences regarding causal relationships, although potentially preventable factors, which could have been contributory to patient deterioration, were identified.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0967-5868
pubmed:author
pubmed:issnType
Print
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
618-23; discussion 624
pubmed:meshHeading
pubmed:year
2007
pubmed:articleTitle
'Talk and die' patients presenting to a major trauma centre over a 10 year period: a critical review.
pubmed:affiliation
Departments of Neurosurgery and Surgery, Monash University, The Alfred Hospital, Commercial Rd, Prahran, 3181, Victoria, Australia. tonygoldschlager@hotmail.com
pubmed:publicationType
Journal Article