Two Different Approaches in Obtaining Head Computerized Tomography Scan in Minor Head Injuries

Golden,

doi:10.4021/jnr225w

Cited by 5 publications

(10 citation statements)

References 29 publications

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“…Age is associated with brain auto-regulation, and so old age may lead to a decline in organ functions, including brain perfusion. 10 , 11 …”

Section: Discussionmentioning

confidence: 99%

Extended Glasgow Outcome Scale correlates with bispectral index in traumatic brain injury patients who underwent craniotomy

Mahadewa¹,

Senapathi²,

Wiryana³

et al. 2018

OAEM

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BackgroundAssessing consciousness in traumatic brain injury is important because it also determines the treatment option, which will influence patients’ outcome. A tool used to objectively assess consciousness level is the bispectral index (BIS) monitor, which was originally designed to monitor the depth of anesthesia. Glasgow Outcome Scale-Extended (GOS-E) provides a measuring tool to assess traumatic brain injury (TBI) outcome. The goal of this study was to assess the correlation between GOS-E scores with BIS values in patients with TBI who underwent craniotomy.Patients and methodsA total of 68 patients admitted to the emergency department with decreased consciousness due to TBI who underwent craniotomy were included in the study. BIS value was measured upon admission, then GOS-E score was determined 6 months after the incident took place. Spearman’s correlation coefficient was used to assess the correlation between GOS-E score and BIS value.ResultsIn 68 patients, the GOS-E score was found to have a strong correlation (r =0.921, p<0.01) with BIS values. From this study, the formula to estimate GOS-E score based on BIS value upon admission stands as: GOS-E =0.19 (BIS) – 8.31.ConclusionThis study found that there is a strong correlation between GOS-E score and BIS value. These findings suggest that BIS scores upon admission may be used to predict the outcomes in patients with TBI. However, the wide distribution of BIS values for each GOS-E score may limit the use of BIS scores in accurately predicting GOS-E scores.

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“…Age is associated with brain auto-regulation, and so old age may lead to a decline in organ functions, including brain perfusion. 10 , 11 …”

Section: Discussionmentioning

confidence: 99%

Extended Glasgow Outcome Scale correlates with bispectral index in traumatic brain injury patients who underwent craniotomy

Mahadewa¹,

Senapathi²,

Wiryana³

et al. 2018

OAEM

View full text Add to dashboard Cite

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“…It indicates the significance of this risk factor for the outcome of head injury patients. 1,18,[30][31][32][33][34][35] Compression of the basal cistern is an indicator of increased ICP. Increased intracranial pressure will cause a decrease of blood flow to the brain, which in turn will cause damage to brain tissue.…”

Section: Discussionmentioning

confidence: 99%

“…It should be done to provide appropriate, accurate and systematic actions and therapies immediately to produce a good prognosis. 1,2 Further decisions regarding the management of severe TBI patients must involve the patient's family, so informed consent about patient outcomes requires adequate and accurate data. Predicting the outcome of severe TBI patients accurately is important for fund allocations, appropriate clinical decisions and realistic informed consent to the family.…”

Section: Introductionmentioning

confidence: 99%

Risk factors and novel prognostic score for predicting the 14-day mortality of severe traumatic brain injury patients

Golden

Mardhika

Niryana

et al. 2020

Intisari Sains Medis

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Introduction: The mortality of severe traumatic brain injury (TBI) is contributed by the severity of the head injury, associated trauma, and complication during treatment. This study aimed to develop a prognostic scoring system of risk factors that contribute to the 14-day mortality of severe TBI.Methods: This was a prospective cohort study including 105 severe TBI patients recruited consecutively from March to October 2016. Multivariate analysis with logistic regression was performed to determine the most contributing risk factors. The validation of prognostic factor was performed with ROC, sensitivity and specificity analysis.Result: There were five significant risk factors of 14-day mortality, which were age > 60 years old (RR: 15.6, 95% CI: 1.88 â€“ 129.95), hypoxia (RR: 17.78, 95% CI: 2.05 â€“ 154.11), GCS 3 â€“ 5 (RR: 34.71, 95% CI: 6.85 â€“ 175.98), effacement of basal cistern (RR: 12.71, 95% CI: 2.61 â€“ 61.95), and traumatic subarachnoid hemorrhage (tSAH) (RR:7.57, 95% CI: 1.19 â€“ 48.36). The prognostic score ranged from 0 to 6 with the best cut-off point of 1. The best predictive AUC with ROC analysis was 0.817, 81.2% of sensitivity, and 75.0% of specificity.Conclusion: The proposed prognostic score has shown good predictive ability.

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“… 7 Low GCS is a risk factor that almost always occurs in studies, indicating the significance of it to the outcome of brain-injured patients. 8 – 15 …”

Section: Discussionmentioning

confidence: 99%

Modified Revised Trauma–Marshall score as a proposed tool in predicting the outcome of moderate and severe traumatic brain injury

Mahadewa

Golden

Saputra

et al. 2018

OAEM

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BackgroundTraumatic brain injury (TBI) is a common healthcare problem related to disability. An easy-to-use trauma scoring system informs physicians about the severity of trauma and helps to decide the course of management. The purpose of this study is to use the combination of both physiological and anatomical assessment tools that predict the outcome and develop a new modified prognostic scoring system in TBIs.Patients and methodsA total of 181 subjects admitted to the emergency department (ED) of Sanglah General Hospital were documented for both Marshall CT scan classification score (MCTC) and Revised Trauma Score (RTS) upon admission. Glasgow Outcome Scale (GOS) was then documented at six months after brain injury. A new Modified Revised Trauma–Marshall score (m-RTS) was developed using statistical analytic methods.ResultsThe total sample enrolled for this study was 181 patients. The mean RTS upon admission was 10.2±1.2. Of the 181 subjects, 110 (60.8%) were found to have favorable GOS (GOS score >3). Best Youden’s index results were obtained with any of the RTS of ≤10 with area under receiver operating characteristic (ROC) curve of 0.2542 and with risk ratio of 2.9 (95% CI=1.98−4.28; P=0.001); and Marshall score ≤2 with area under ROC curve of 0.2249 with risk ratio of 3.9 (95% CI=2.52−5.89; P=0.001). The RTS–Marshall combination has higher sensitivity with risk ratio of 4.5 (CI 95%=2.55−8.0; P=0.001) for screening tools of unfavorable outcome. The Pearson’s correlation between RTS and Marshall classification is 0.464 (P<0.001).ConclusionCombination of physiological and anatomical score improves the prognostic of outcome in moderate and severe TBI patients, formulated in this accurate, simple, applicable and reliable m-RTS prognostic score model.

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Two Different Approaches in Obtaining Head Computerized Tomography Scan in Minor Head Injuries

Cited by 5 publications

References 29 publications

Extended Glasgow Outcome Scale correlates with bispectral index in traumatic brain injury patients who underwent craniotomy

Extended Glasgow Outcome Scale correlates with bispectral index in traumatic brain injury patients who underwent craniotomy

Risk factors and novel prognostic score for predicting the 14-day mortality of severe traumatic brain injury patients

Modified Revised Trauma–Marshall score as a proposed tool in predicting the outcome of moderate and severe traumatic brain injury

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Two Different Approaches in Obtaining Head Computerized Tomography Scan in Minor Head Injuries

Cited by 5 publications

References 29 publications

Extended Glasgow Outcome Scale correlates with bispectral index in traumatic brain injury patients who underwent craniotomy

Extended Glasgow Outcome Scale correlates with bispectral index in traumatic brain injury patients who underwent craniotomy

Risk factors and novel prognostic score for predicting the 14-day mortality of severe traumatic brain injury patients

Modified Revised Trauma&ndash;Marshall score as a proposed tool in predicting the outcome of moderate and severe traumatic brain injury

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Modified Revised Trauma–Marshall score as a proposed tool in predicting the outcome of moderate and severe traumatic brain injury