The Rotterdam Scoring System Can Be Used as an Independent Factor for Predicting Traumatic Brain Injury Outcomes

Talari, H.R. and Fakharian, E. and Mousavi, N. and Abedzadeh-Kalahroudi, M. and Akbari, H. and Zoghi, S. (2016) The Rotterdam Scoring System Can Be Used as an Independent Factor for Predicting Traumatic Brain Injury Outcomes. World Neurosurgery, 87. pp. 195-199.

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Abstract

Predicting outcomes in patients with traumatic brain injury is critically important for making sound clinical decisions. This study aimed at determining the prognostic value of the Rotterdam scoring system to predict early death among these patients. Materials and Methods This study was performed prospectively on 150 patients with traumatic brain injury hospitalized in Shahid Beheshti Hospital, Kashan, Iran. Patients' demographic and clinical characteristics such as age, sex, mechanism of trauma, initial Glasgow Coma Scale score, and accompanying lesions were documented. A brain computed tomography was performed for each patient and scored by use of the Rotterdam system. Patients were monitored for 2 weeks after hospital discharge, and their outcomes were documented. Univariate and multiple logistic regression analysis and prognostic values of Rotterdam system were conducted by SPSS software. Results Nineteen patients (12.7) died during the course of the study. The mean age of the dead patients was significantly greater than those who survived (P = 0.037). The sensitivity and the specificity of the Rotterdam scoring system at the cutoff score of 4 were 84.2 and 96.2, respectively. Rotterdam score was significantly correlated with patient outcomes (P < 0.0001). Moreover, logistic regression analyses revealed that factors such as age, sex, Glasgow Coma Scale score, and Rotterdam score significantly contributed to patient outcomes. Conclusions Rotterdam score is an independent factor for predicting outcomes among patients with traumatic brain injury. At the cutoff score of 4, the Rotterdam system can predict outcomes among patients suffering from traumatic brain injury with acceptable sensitivity and specificity. © 2016 Elsevier Inc. All rights reserved.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: adult; Article; assessment of humans; computer assisted tomography; death; female; follow up; Glasgow coma scale; hospital discharge; hospitalization; human; injury severity; Iran; major clinical study; male; middle aged; mortality rate; patient monitoring; prognosis; prospective study; Rotterdam scoring system; sensitivity and specificity; survival; traumatic brain injury; adolescent; age; aged; Brain Injuries; mortality; predictive value; prognosis; reproducibility; sex difference; treatment outcome; young adult, Adolescent; Adult; Age Factors; Aged; Brain Injuries; Female; Glasgow Coma Scale; Humans; Male; Middle Aged; Predictive Value of Tests; Prognosis; Prospective Studies; Reproducibility of Results; Sex Factors; Tomography, X-Ray Computed; Treatment Outcome; Young Adult
Subjects: Health Professions
Divisions: Faculty of Nursing & Midwifery > Department of Midwifery
Depositing User: editor . 2
Date Deposited: 06 Mar 2017 17:00
Last Modified: 06 Mar 2017 17:00
URI: http://eprints.kaums.ac.ir/id/eprint/169

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