Rotterdam computed tomography score as a prognosticator in head-injured patients undergoing decompressive craniectomy
| العنوان: | Rotterdam computed tomography score as a prognosticator in head-injured patients undergoing decompressive craniectomy |
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| المؤلفون: | Yu-Hua Huang, Yu-Han Deng, Wu-Fu Chen, Tao-Chen Lee |
| المصدر: | Neurosurgery |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | Adult, Male, Multivariate statistics, medicine.medical_specialty, Decompressive Craniectomy, Adolescent, Traumatic brain injury, medicine.medical_treatment, Glasgow Outcome Scale, Computed tomography, Young Adult, Outcome Assessment, Health Care, medicine, Craniocerebral Trauma, Humans, Child, Aged, Retrospective Studies, Aged, 80 and over, Univariate analysis, Analysis of Variance, medicine.diagnostic_test, business.industry, Infant, Odds ratio, Middle Aged, medicine.disease, Confidence interval, Surgery, Child, Preschool, Decompressive craniectomy, Female, Neurology (clinical), Radiology, Human medicine, business, Tomography, X-Ray Computed |
| الوصف: | 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 CT scans with the worst findings before DC were scored according to the Rotterdam CT classification. Mortality and Glasgow Outcome Scale score at the end of follow-up were used as outcome measures. Unfavorable and favorable outcomes were defined by a Glasgow Outcome Scale score of 1 to 3 and 4 to 5, respectively. We used binary logistic and proportional odds regression for prognostic analyses. RESULTS The relationship between the Rotterdam CT score and prognosis was quantified, and higher scores indicated worse patient outcomes. Univariate analysis showed that the Rotterdam CT score was significantly associated with mortality (odds ratio: 3.117, 95% confidence interval: 1.867-5.386; P < .001) and unfavorable outcomes (odds ratio: 2.612, 95% confidence interval: 1.733-3.939; P < .001). After adjustment for published outcome predictors of TBI in multivariate regression, the Rotterdam CT score remained an independent predictor of unfavorable outcomes (odds ratio: 1.830, 95% confidence interval: 1.043-3.212; P = .035). CONCLUSION For head-injured patients undergoing DC, the Rotterdam CT score provides great prognostic discrimination and is an independent predictor of unfavorable outcomes. We suggest that the Rotterdam CT score be included as a prognosticator in the overall assessment of clinical condition of TBI patients before DC. |
| تدمد: | 1524-4040 0148-396X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a70578ed4fe604471ec2772a03dc327e https://pubmed.ncbi.nlm.nih.gov/22893908 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....a70578ed4fe604471ec2772a03dc327e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244040 0148396X |
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