Comparative study of computed tomographic scoring systems and predictors of early mortality in severe traumatic brain injury

Pargaonkar, Raghav; Kumar, Vinod; Menon, Girish; Hegde, Ajay

doi:10.1016/j.jocn.2019.05.011

Cited by 22 publications

(17 citation statements)

References 35 publications

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“…9 In fact, Marshall classification was not intended to be a prognostic model and thus Mass et al 9 compared it with a model comprising of individual CT characteristic findings and reported Rotterdam score to be a better prognostic model. In the observational study by Pargaonkar et al, 11 researchers found that Rotterdam score had a better linear relationship between scoring and mortality than Marshall CT score. Similar findings were obtained in the study by Munakomi et al 23,32 Also, the positive predictive value for predicting mortality was higher for Rotterdam scoring (82.5%) as compared with the Marshall CT scoring system (79.3%).…”

Section: Predictive Value Of Rotterdam Ct Scoring Systemmentioning

confidence: 97%

Predictive Value of Rotterdam Score and Marshall Score in Traumatic Brain Injury: A Contemporary Review

Mishra

Ucros

Florez-Perdomo

et al. 2021

Indian Journal of Neurotrauma

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This article conducts a contemporary comparative review of the medical literature to update and establish evidence as to which framework among Rotterdam and Marshall computed tomography (CT)-based scoring systems predicts traumatic brain injury (TBI) outcomes better. The scheme followed was following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for literature search. The search started on August 15, 2020 and ended on December 31, 2020. The combination terms used were Medical Subject Headings terms, combination keywords, and specific words used for describing various pathologies of TBI to identify the most relevant article in each database. PICO question to guide the search strategy was: “what is the use of Marshall (I) versus Rotterdam score (C) in TBI patients (P) for mortality risk stratification (O).” The review is based on 46 references which included a full review of 14 articles for adult TBI patients and 6 articles for pediatric TBI articles comparing Rotterdam and Marshall CT scores. The review includes 8,243 patients, of which 2,365 were pediatric and 5,878 were adult TBI patients. Marshall CT classification is not ordinal, is more descriptive, has better inter-rater reliability, and poor performance in a specific group of TBI patients requiring decompressive craniectomy. Rotterdam CT classification is ordinal, has better discriminatory power, and a better description of the dynamics of intracranial changes. The two scoring systems are complimentary. A combination of clinical parameters, severity, ischemic and hemodynamic parameters, and CT scoring system could predict the prognosis of TBI patients with significant accuracy. None of the classifications has good evidence for use in pediatric patients.

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Section: Predictive Value Of Rotterdam Ct Scoring Systemmentioning

confidence: 97%

Predictive Value of Rotterdam Score and Marshall Score in Traumatic Brain Injury: A Contemporary Review

Mishra

Ucros

Florez-Perdomo

et al. 2021

Indian Journal of Neurotrauma

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“…Similarly, the Glasgow Coma Scale (GCS) is normally used to establish the severity of the TBI [16][17][18]. There are various scores for predicting adverse outcomes after a TBI, but they are designed for use in the emergency department (ED) and ICU [19,20] where advanced diagnostic equipment is available but there are no specific scores to be used in a prehospital setting.…”

Section: Introductionmentioning

confidence: 99%

Identification of Serious Adverse Events in Patients with Traumatic Brain Injuries, from Prehospital Care to Intensive-Care Unit, Using Early Warning Scores

Martin-Rodríguez

López-Izquierdo

Mohedano-Moriano

et al. 2020

IJERPH

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Traumatic brain injuries are complex situations in which the emergency medical services must quickly determine the risk of deterioration using minimal diagnostic methods. The aim of this study is to analyze whether the use of early warning scores can help with decision-making in these dynamic situations by determining the patients who need the intensive care unit. A prospective, multicentric cohort study without intervention was carried out on traumatic brain injury patients aged over 18 given advanced life support and taken to the hospital. Our study included a total of 209 cases. The total number of intensive-care unit admissions was 50 cases (23.9%). Of the scores analyzed, the National Early Warning Score2 was the best result presented with an area under the curve of 0.888 (0.81–0.94; p < 0.001) and an odds ratio of 25.4 (95% confidence interval (CI):11.2–57.5). The use of early warning scores (and specifically National Early Warning Score2) can help the emergency medical services to differentiate traumatic brain injury patients with a high risk of deterioration. The emergency medical services should use the early warning scores routinely in all cases for the early detection of high-risk situations.

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“…Numerous studies have documented the predictive power of computed tomography ( 34 ) findings, such that they have now been integrated into the extended versions of both the IMPACT and the CRASH prognostic tools ( 35 , 36 ) ( Table 2 ). Among the various CT findings that have been individually identified as predictors of mortality and poor outcome in sTBI patients are the presence of traumatic subarachnoid hemorrhage ( 27 , 39 , 40 ), intra-ventricular hemorrhage ( 39 , 40 ), obliteration of the cisterns ( 39 , 40 ), midline shift ( 40 ), epidural hemorrhage ( 39 ), and mass lesions ( 40 ). Several models have been developed for use assessing CT findings in patients with traumatic brain injuries, all slightly different.…”

Section: Baseline Predictors Of Mortality and Glasgow Outcome Scorementioning

confidence: 99%

Baseline Predictors of Survival, Neurological Recovery, Cognitive Function, Neuropsychiatric Outcomes, and Return to Work in Patients after a Severe Traumatic Brain Injury: an Updated Review

Algethamy¹

2020

Mater Sociomed

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Introduction: Severe traumatic brain injury (sTBI) is a common cause of death and disability worldwide, with long-term squeal among survivors that include cognitive deficits, psychosocial and neuropsychiatric dysfunction, failure to return to pre-injury levels of work, school and inter-personal relationships, and overall reduced quality of and satisfaction with life. Aim: The aim of this work is to review the current literature on baseline predictors of outcomes in adults post sTBI. Method: Most of available literature on baseline predictors of outcomes in adults post sTBI were reviewed and summarized in this work. Results: Currently, a sizeable number of composite predictors of mortality and overall function exists; however, these instruments tend to over-estimate poor outcomes and fail to address issues like cognition, psychosocial/ neuropsychiatric dysfunction, and return to work or school. Conclusion: This article reviews currently-identified predictors of all these outcomes.

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Comparative study of computed tomographic scoring systems and predictors of early mortality in severe traumatic brain injury

Cited by 22 publications

References 35 publications

Predictive Value of Rotterdam Score and Marshall Score in Traumatic Brain Injury: A Contemporary Review

Predictive Value of Rotterdam Score and Marshall Score in Traumatic Brain Injury: A Contemporary Review

Identification of Serious Adverse Events in Patients with Traumatic Brain Injuries, from Prehospital Care to Intensive-Care Unit, Using Early Warning Scores

Baseline Predictors of Survival, Neurological Recovery, Cognitive Function, Neuropsychiatric Outcomes, and Return to Work in Patients after a Severe Traumatic Brain Injury: an Updated Review

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