Posts Tagged ‘Rotterdam CT score’
Background: Prediction of clinical course and outcome after severe traumatic brain injury (TBI) is important.
Objective: To examine whether clinical scales (Glasgow Coma Scale [GCS], Injury Severity Score [ISS], and Acute Physiology and Chronic Health Evaluation II [APACHE II]) or radiographic scales based on admission computed tomography (Marshall and Rotterdam) were associated with intensive care unit (ICU) physiology (intracranial pressure [ICP], brain tissue oxygen tension [PbtO2]), and clinical outcome after severe TBI.
Methods: One hundred one patients (median age, 41.0 years; interquartile range [26-55]) with severe TBI who had ICP and PbtO2 monitoring were identified. The relationship between admission GCS, ISS, APACHE II, Marshall and Rotterdam scores and ICP, PbtO2, and outcome was examined by using mixed-effects models and logistic regression.
Background: The Rotterdam computed tomography (CT) score was developed for prognostic purposes in traumatic brain injury (TBI).
Objective: To examine the prognostic discrimination and prediction of the Rotterdam CT score in the case of patients undergoing decompressive craniectomy (DC) for TBI.
Methods: The worst CT scans before DC were scored according to the Rotterdam CT classification. Mortality and Glasgow Outcome Scale (GOS) at the end of follow-up were used as outcome measures. Unfavorable and favorable outcomes were defined by a GOS score of 1-3 and 4-5, respectively. We used binary logistic and proportional odds regression for prognostic analyses.