The Traumatic Coma Data Bank: design, methods, and baseline characteristics

Mary A. Foulkes Biometry and Field Studies Branch, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland

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Howard M. Eisenberg Biometry and Field Studies Branch, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland

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John A. Jane Biometry and Field Studies Branch, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland

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Anthony Marmarou Biometry and Field Studies Branch, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland

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Lawrence F. Marshall Biometry and Field Studies Branch, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland

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Traumatic Coma Data Bank Research Group Biometry and Field Studies Branch, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland

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✓ The Traumatic Coma Data Bank is a collaborative project to prospectively collect data on the clinical course and outcome of severely head-injured patients. The objectives were to further define the natural history of traumatic head injury, to identify prognostic factors, and to provide planning data for future studies. A brief historical development and a description of the organizational structure and methods are given. The characteristics of the cohort at baseline for the 1030 patients enrolled between January, 1984, and September, 1987, are presented, including a summary of the patients' demographic profile, mechanisms of injury, and intracranial diagnoses. The utility and limitations of these data are discussed.

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    Marshall LF, , Becker DP, & Bowers SA, et al: The National Traumatic Coma Data Bank. Part 1: Design, purpose, goals, and results. J Neurosurg 59:276284, 1983 Marshall LF, Becker DP, Bowers SA, et al: The National Traumatic Coma Data Bank. Part 1: Design, purpose, goals, and results. J Neurosurg 59:276–284, 1983

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    Marshall LF, , Toole BM, & Bowers SA: The National Traumatic Coma Data Bank. Part 2: Patients who talk and deteriorate: implications for treatment. J Neurosurg 59:285288, 1983 Marshall LF, Toole BM, Bowers SA: The National Traumatic Coma Data Bank. Part 2: Patients who talk and deteriorate: implications for treatment. J Neurosurg 59:285–288, 1983

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    Marshall SB, , Cayard C, & Foulkes MA, et al: The Traumatic Coma Data Bank: a nursing perspective, Part 1. J Neurosci Nurs 20:253257, 1988 Marshall SB, Cayard C, Foulkes MA, et al: The Traumatic Coma Data Bank: a nursing perspective, Part 1. J Neurosci Nurs 20:253–257, 1988

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    Seelig JM, , Marshall LF, & Toutant SM, et al: Traumatic acute epidural hematoma: unrecognized high lethality in comatose patients. Neurosurgery 15:617620, 1984 Seelig JM, Marshall LF, Toutant SM, et al: Traumatic acute epidural hematoma: unrecognized high lethality in comatose patients. Neurosurgery 15:617–620, 1984

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    Toutant SM, , Klauber MR, & Marshall LF, et al: Absent or compressed basal cisterns on first CT scan: ominous predictors of outcome in severe head injury. J Neurosurg 61:691694, 1984 Toutant SM, Klauber MR, Marshall LF, et al: Absent or compressed basal cisterns on first CT scan: ominous predictors of outcome in severe head injury. J Neurosurg 61:691–694, 1984

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