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As head injury is an important cause of traumatic death, it is essential to establish which clinical parameters available soon after injury can be used to accurately predict outcome. In an article published in the Archives of Surgery , Texan
surgeons established determinants of mortality among patients with severe blunt head injury, which, we believe
have a bearing on practice of surgery in Africa. In a follow up study, they recruited patients with severe
blunt head injury, as defined by inability to follow commands, and prospectively entered the data into a database