Prediction of early death in patients with traumatic brain injury:a comparison between Marshall and Rotterdam CT scoring systems
CAO Cheng-long
LI Yan-ling
SONG Jian
DU Hao
YAO Shun
FANG Li
YAN Yan
XU Guo-zheng
Abstract：Objective To verify the predictive effect of the Rotterdam CT scoring system on early mortality in the patients with traumatic brain injury (TBI). Methods The clinical data of 149 patients with moderate and severe TBI (GCS 3~12 points) were analyzed retrospectively, including following up data and so on 2 weeks after TBI. The abilities of Marshall and Rotterdam scoring systems to predict the early death in the patients with TBI were assessed by the areas under the receiver operating characteristic curve (AUC). Results The total death rate was 13.4% (20/149) 2 weeks after TBI. The early death rate was positively related to the scores less than 5 points of Marshall CT scoring system and the scores of the Rotterdam CT scoring system in the patients with TBI. The present results showed that the AUC of Marshall and Rotterdam CT scoring systems were 0.800 and 0.852 respectively in the patients with TBI. Conclusions The early death rate in the patients with moderate and severe TBI can be predicted by Marshall and Rotterdam scoring systems. Rotterdam scoring system is more proper for the prediction of the early death rate in patients with diffuse axonal injury because it includes the subarachnoid hemorrhage besides other variables included by Marshall CT scoring system.
Keywords：Traumatic brain injuryMarshall CT scoring systemRotterdam CT scoring systemDeath ratePrediction
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 676-679 )