Abstract
To evaluate the effects of blood pressure levels on prognosis of intracranial trauma patients with cognitive dysfunction. One hundred and twenty intracranial trauma patients enrolled in our hospital from February 2011 to July 2013 were selected, including 40 hypertension and 80 non-hypertension cases. They were investigated by MiniMental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) scales, and the clinical data were retrospectively analyzed. Compared with the control group, the MoCA, visuospatial executive function, attention, language, delayed recall, MMSE, orientation and memory scores of the hypertension group were significantly lower. Unconditional Logistic regression analysis showed that age, history of cerebrovascular disease and triglyceride level were the independent risk factors of cognitive function. The blood pressure levels of intracranial trauma patients were associated with cognitive function, with age, history of cerebrovascular disease and triglyceride level as the independent risk factors. Therefore, it is necessary to control blood pressure level to improve prognosis.
Highlights
Intracranial trauma, as one of the critical diseases upon clinical emergency, may give rise to fatal brain herniation.[1]
They were investigated by MiniMental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) scales, and the clinical data were retrospectively analyzed
The blood pressure levels of intracranial trauma patients were associated with cognitive function, with age, history of cerebrovascular disease and triglyceride level as the independent risk factors
Summary
Intracranial trauma, as one of the critical diseases upon clinical emergency, may give rise to fatal brain herniation.[1] Generally, intracranial trauma results from accidental fall from aerial work platforms, car accident, heavy collision, and violent fight, etc. Hypertension has become an essential risk factor endangering the health of the elderly. 1. Weiyu Wang, Department of Neurosurgery, 2. Bing Lei, Department of Neurosurgery, 1-3: Zhejiang Provincial People’s Hospital, Hangzhou 310014, China
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