Formulation Of A Three Tier Cisternal Grade As A Predictor Of In Hospital Outcome From A Prospective Study Of Patients With Traumatic Intracranial Hematoma

Abstract Objective Outcome prediction is of paramount importance in traumatic brain injury. Our objective of conducting this prospective study was to identify the predictors needed to formulate a prognostic score. Methods Clinical and radiological characteristics of hundred patients with traumatic i...

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Bibliographic Details
Published in:World neurosurgery 2017-08, Vol.104, p.848-855
Main Authors: Raghunath, avanali, MCh in Neurosurgery, Bhadran, Biju, M.Ch in Neurosurgery, Panchal, Sunil, MS in Surgery, Krishna Kumar, P., M.Ch in Neurosurgery, Abhishek, V., M.Ch in Neurosurgery, Musthafa, Aneeze.M., M.Ch in Neurosurgery, Harison, G., M.Ch in Neurosurgery
Format: Article
Language:English
Subjects:
Adolescent
Adult
Basal cisterns
Cerebral Ventricles - diagnostic imaging
Cohort Studies
Female
Glasgow Outcome Scale
Hospital Mortality
Humans
India
Intracranial Hemorrhage, Traumatic - classification
Intracranial Hemorrhage, Traumatic - diagnostic imaging
Intracranial Hemorrhage, Traumatic - mortality
Intracranial Hemorrhage, Traumatic - surgery
Male
Middle Aged
Neurosurgery
Patient Outcome Assessment
Prediction scores in TBI
Prognosis
Prospective Studies
Subarachnoid Space - diagnostic imaging
Survival Analysis
Tomography, X-Ray Computed
Traumatic intracerebral hematoma
Young Adult
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Summary:Abstract Objective Outcome prediction is of paramount importance in traumatic brain injury. Our objective of conducting this prospective study was to identify the predictors needed to formulate a prognostic score. Methods Clinical and radiological characteristics of hundred patients with traumatic intra cranial hematoma were analyzed. Key measurements were taken in midbrain and pontine regions and status of each of the nine basal cisterns were noted, by giving a score of 1 if they were visible and 0 if not. All the predictors were analyzed for outcome. Results Total cisternal score was found to be an independent predictor of outcome. A Grade was formulated by dividing the score in to three levels. Conclusions The model based on cisternal status described in the study is technically simple and conveys the information regarding the outcome to the treating neurosurgeon. Since the score obtained seems to have very low inter observer variation, we believe that it can be a useful tool not only in recording data in case files and inter physician communication but also in traumatic brain injury research.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2017.05.054