The Role of Computed Tomography in Predicting the Outcome of Traumatic Brain Injury Patients
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 12
Abstract
Background: Traumatic brain injury is the leading cause of mortality, morbidity, disability and socioeconomic losses worldwide. The aim of this study was to determine the proportion of poor outcome among the head injury patients with Glasgow coma scale < 12 and to determine the role of initial CT scan in predicting the outcome among them. Materials and Methods: The study was carried out in the department of Radio diagnosis, Medical college, Kottayam for a period of 12 months in patients coming to casualty with features of moderate to severe traumatic head injury (GCS <12) and had taken the initial CT head scan within 24 hours of injury. All CT scans taken in the department were reviewed in digital form. Rotterdam CT scoring and Glasgow outcome score at and after 3 months of discharge were noted. Results: A total of 150 patients were included in the study. 57.3% had moderate head injury and 42.7% had severe head injury. Abnormal CT findings were noted in 95.3% of patients. The incidence of poor outcome was 52.7% in patients with moderate to severe head injury. Statistically significant association with poor outcome was noted in status of basal cistern, midline shift, tSAH, IVH, SDH and contusions. Among these variables, absent basal cistern had the highest PPV of 95.5% and highest odds ratio of 26.011 with 95% confidence interval (7.747 – 85.135). With Rotterdam scoring, the higher the grades, more the probability for poor outcome Conclusion: More than half of the patients with moderate and severe head injury patients had poor outcome. The status of basal cistern was the best predictor among the CT variables. Rotterdam scoring can be used as an objective score to predict the mortality in patients with moderate or severe head injury.
Authors and Affiliations
Nandhini S
Keywords
Related Articles
- EP ID EP519628
- DOI -
- Views 78
- Downloads 0
“OPENER”- Osteoporosis evaluation in north eastern region of India- A prospective demographic study from tertiary hospital of India
Osteoporosis is one of the most common metabolic bone disease especially so in a developing country like India and can result in devastating physical, psychosocial, and economic consequences. Osteoporosis is characterize...
Pattern of Acute Kidney Injury in Tropical Febrile Illness - A Retrospective Clinical Study
Rapid decline in the glomerular filtration rate (GFR) within a period of hours to weeks with resultant retention of nitrogenous waste products such as blood urea nitrogen (BUN) and creatinine is characteristic of acute k...
Effect of Progesterone Supplementation to Prevent Preterm Labor
Preterm birth is the most important problem in maternal and child health throughout the world. It complicates one in eight deliveries and accounts for over 85% of all perinatal morbidity and mortality. On February 3, 201...
V-Y Advancement flap for Sacral Pressure Sore
Background: The sacral region is one of the most frequent sites of pressure sore development. Debridement of pressure sores in the sacral region often results in excessive soft tissue defect. Numerous surgical methods ha...
Comparative Study of Plain Bupivacaine and Bupivacaine with Clonidine for Caudal Epidural in Paediatric Patients
Aims and Objectives: To compare perioperative haemodynamic changes and complications, the quality and duration of post operative analgesia, total number of rescue analgesic doses required and degree and duration of sedat...