Table 2: Patient characteristics and clinical variables associated with poor neurological outcome and late seizures.
|
GOS-E Assessed at Least 6 months Post Injury (n = 52) |
Persistent Seizures After 7 days Post Injury (n = 51) |
|||||
Patient Characteristics |
No GOS-E n = 9 |
GOS-E ≤ 5 n (%) |
GOS-E > 5 n (%) |
P-Value |
Late seizures Absent n (%) |
Late seizures Present n (%) |
P-Value |
Gender |
|||||||
Male |
6 |
18 (62.1) |
11 (37.9) |
0.329 |
24 (70.6) |
10 (29.4) |
0.531 |
Female |
3 |
6 (42.9) |
8 (57.1) |
|
10 (58.8) |
7 (41.2) |
|
Mean age |
5.4 |
4.6 |
5 |
0.774 |
4.2 |
6.3 |
0.119 |
Prematurity |
|||||||
No |
7 |
20 (60.6) |
13 (39.4) |
0.295 |
26 (65.0) |
14 (35) |
0.731 |
Yes |
2 |
4 (40.0) |
6 (60.0) |
|
8 (72.7) |
3 (27.3) |
|
Insurance type |
|||||||
Private |
2 |
5 (45.4) |
6 (54.6) |
0.495 |
7 (53.8) |
6 (46.2) |
0.315 |
Medicaid/None |
7 |
19 (59.4) |
13 (40.6) |
|
27 (71.1) |
11 (28.9) |
|
Presenting factors |
|
|
|
|
|
|
|
Outside Hospital |
|||||||
No |
2 |
6 (54.6) |
5 (45.4) |
0.995 |
9 (69.2) |
4 (30.7) |
1 |
Yes |
7 |
18 (56.3) |
14 (43.7) |
|
25 (65.8) |
13 (34.2) |
|
Glasgow Coma Scale |
|||||||
GCS > 8 (mild to moderate TBI) |
9 |
14 (73.7) |
5 (26.3) |
0.033 |
20 (74.1) |
7 (25.9) |
0.228 |
GCS ≤ (severe TBI) |
0 |
9 (39.1) |
14 (60.9) |
|
13 (56.5) |
10 (43.5) |
|
Retinal hemorrhages (Y/N) |
|||||||
No |
1 |
6 (100.0) |
0 (0) |
0.027 |
6 (85.7) |
1 (14.3) |
0.401 |
Yes |
8 |
18 (48.7) |
19 (51.3) |
|
28 (77.8) |
16 (28.2) |
|
Cardiac arrest |
|||||||
No |
9 |
24 (66.7) |
12 (33.3) |
0.002 |
31 (68.9) |
14 (31.1) |
0.387 |
Yes |
0 |
0 (0) |
7 (100.0) |
|
3 (50.0) |
3 (50.0) |
|
Radiology |
|
|
|
|
|
|
|
Parenchymal injury |
|||||||
No |
4 |
9 (100) |
0 (0) |
0.002 |
12 (92.3) |
1 (7.7) |
0.038 |
Yes |
5 |
15 (44.9) |
19 (55.1) |
|
22 (57.9) |
16 (42.1) |
|
Skull fracture |
|||||||
No |
7 |
22 (61.1) |
14 (38.9) |
0.211 |
28 (66.7) |
14 (33.3) |
1 |
Yes |
2 |
2 (28.6) |
5 (71.4) |
|
6 (66.7) |
3 (33.3) |
|
Other fractures |
|||||||
No |
5 |
15 (57.7) |
11 (42.3) |
1 |
|
|
|
Yes |
4 |
9 (52.9) |
8 (47.1) |
|
|
|
|
Seizures |
|
|
|
|
|
|
|
Seizures on presentation |
|||||||
No |
2 |
10 (47.6) |
11 (52.4) |
0.364 |
13 (59.1) |
9 (40.9) |
0.377 |
Yes |
7 |
14 (63.6) |
8 (36.4) |
|
21 (72.4) |
8 (27.6) |
|
Seizure within 7 days of injury |
|||||||
No |
2 |
4 (40.0) |
6 (60.0) |
0.295 |
8 (72.7) |
3 (27.3) |
0.731 |
Yes |
7 |
20 (60.6) |
13 (39.4) |
|
26 (65.0) |
14 (35.0) |
|
Seizures treated with infusion |
|||||||
No |
7 |
21 (63.6) |
10 (36.4) |
0.017 |
27 (73.0) |
10 (27.0) |
0.183 |
Yes |
2 |
3 (25.0) |
9 (75) |
|
7 (50.0) |
7 (50.0) |
|
Clinical course |
|||||||
Average length of ICU stay |
3.4 |
6.2 |
14 |
0.001 |
7.2 |
11.6 |
0.025 |
Average Length of hospital stay |
8.9 |
12.8 |
22.8 |
0.005 |
13.9 |
20.5 |
0.01 |