Review Article

Organ Donation and Elective Ventilation: A Necessary Strategy

Table 1

Poor prognostic factors in patients with brain trauma.

Cranioencephalic trauma

High age
Low GCS
Pupillary changes/anisocoria/nonreactive bilateral mydriasis
Alteration or absence of ocular movement
Injuries according to the Marshall CT classification (IV and VI)
Type and gravity of injury according to CT. Presence of traumatic SAH
Intracranial hypertension
Hypoxia/hypotension and presence of secondary injury
Necessity of intubation
Coagulopathy/previous anticoagulant treatment/necessity of blood transfusion
Associated spinal cord injury

SAH

Age
Neurologic function
High score in Hunt and Hess scale
High score in WFNS scale
Fisher scale. Blood volume and location
High score in Ogilvy and Carter scale
Size and localization of aneurism/hemorrhage recurrence
Hyperglycemia

Ischemic and hemorrhagic brain stroke

High score in NIHSS and iScore
High ICH score
Low GCS
Volume of hematoma that varies depending on location:
(i) Basal ganglia hemorrhage ≥ 60 cc, mortality 100%
(ii) Lobar hemorrhage ≥ 60 cc, mortality 71%
(iii) Posterior fossa lethal hemorrhage:
   Cerebellar location > 30 cc
   Pontine location 5 cc
Diabetes/hyperglycemia on admission
Previous antiaggregation/anticoagulation
Auricular fibrillation

GCS: Glasgow Coma Scale.
CT: computed tomography.
SAH: subarachnoid hemorrhage.
WFNS: World Federation of Neurological Surgeons.
NIHSS: National Institute of Health Stroke Scale.
ICH: intracerebral hemorrhage.