使用鹿特丹评分对创伤性脑损伤入院患者的预后进行预测
The Prediction of Outcomes in Patients Admitted With Traumatic Brain Injury Using the Rotterdam Score.
作者信息
Javeed Farrukh, Rehman Lal, Masroor Mehar, Khan Maham
机构信息
Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Neurosurgery, Aga Khan University Hospital, Karachi, PAK.
出版信息
Cureus. 2022 Sep 30;14(9):e29787. doi: 10.7759/cureus.29787. eCollection 2022 Sep.
OBJECTIVE
The objective was to use the Rotterdam score, which is based on a CT scan, to assess the outcomes of traumatic brain injury patients.
MATERIAL AND METHODS
This research, which included 319 head trauma patients, was carried out at the neurosurgery department of a tertiary care hospital between June 2019 and December 2020. The Rotterdam score was calculated for each patient on the basis of the first CT scan after the head injury. The Glasgow Outcome Score was used to assess the results three months following the injury.
RESULTS
In our research, there were 270 male patients (84.6%) and 49 female patients (15.4%). The mean age was 37.4 ± 15.4 years and road traffic accidents were observed in 275 people (86.2%). Severe traumatic brain injury (TBI) was seen in 123 patients (38.6%). The most common Rotterdam score was 2 in 86 (27.0%) patients, while it was score 3 in 72 (22.6%), score 4 in 59 (18.5%), score 5 in 41 (12.9%), score 1 in 31 (9.7%) and score 6 in 29 (9.1%). The mortality rate was 33.5% in our patients and good recovery was seen in 150 (47.0%) patients.
CONCLUSION
The Rotterdam score is a useful tool to evaluate and predict outcomes in head trauma patients.
目的
使用基于CT扫描的鹿特丹评分来评估创伤性脑损伤患者的预后。
材料与方法
本研究纳入319例头部外伤患者，于2019年6月至2020年12月在一家三级护理医院的神经外科进行。根据头部受伤后的首次CT扫描为每位患者计算鹿特丹评分。采用格拉斯哥预后评分评估受伤后三个月的结果。
结果
在我们的研究中，有270例男性患者（84.6%）和49例女性患者（15.4%）。平均年龄为37.4±15.4岁，275人（86.2%）发生道路交通事故。123例患者（38.6%）出现重度创伤性脑损伤（TBI）。最常见的鹿特丹评分为2分，共86例（27.0%）患者；评分为3分的有72例（22.6%），评分为4分的有59例（18.5%），评分为5分的有41例（12.9%），评分为1分的有31例（9.7%），评分为6分的有29例（9.1%）。我们的患者死亡率为33.5%，150例（47.0%）患者恢复良好。
结论
鹿特丹评分是评估和预测头部外伤患者预后的有用工具。
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