Abstract
Various intracranial pathologies in traumatic brain injury (TBI) can help to predict patient outcomes. These pathologies can be categorised using the Marshall Classification or the Abbreviated Injury Scale (AIS) dictionary or can be described through traditional descriptive terms such as subarachnoid haemorrhage (SAH), subdural haemorrhage (SDH), epidural haemorrhage (EDH) etc. The purpose of this study is to assess the prognostic value of AIS scores, the Marshall Classification and various intracranial pathologies in TBI. A dataset of 802 TBI patients in the Trauma Audit and Research Network (TARN) database was analysed using logistic regression. First, a baseline model was constructed with age, Glasgow Coma Scale (GCS), pupillary reactivity, cause of injury and presence/absence of extracranial injury as predictors and survival at discharge as the outcome. Subsequently, AIS score, the Marshall Classification and various intracranial pathologies such as haemorrhage, SAH or brain swelling were added in order to assess the relative predictive strength of each variable and also to assess the improvement in the performance of the model. Various AIS scores or Marshal classes did not appear to significantly affect the outcome. Among ...Continue Reading
References
Jan 1, 1994·Acta neurochirurgica·A KakariekaE H Schakel
Jan 1, 1993·British Journal of Neurosurgery·M R FearnsideR J McNeil
Jan 14, 1999·Journal of Neurology, Neurosurgery, and Psychiatry·D F SignoriniJ D Miller
Apr 24, 1999·Acta neurochirurgica·G D MurrayA Unterberg
Jan 8, 2000·Neurosurgery·F ServadeiA Unterberg
Sep 6, 2001·Acta neurochirurgica·A A AzianJ Abdullah
Jan 18, 2002·Journal of Neurology, Neurosurgery, and Psychiatry·J M WardlawP Statham
Feb 15, 2002·Neurosurgery·Franco ServadeiAndy Unterberg
Apr 23, 2003·The Journal of Trauma·C HealeyJ Wayne Meredith
Jul 12, 2003·The Journal of Trauma·Edward G DavisPeter S J Lees
Sep 4, 2004·The Journal of Trauma·Mabrouk BahloulMounir Bouaziz
Oct 22, 2005·Journal of Neurotrauma·Chantal W P M HukkelhovenAndrew I R Maas
Nov 1, 2005·Lancet·H C PatelUNKNOWN Trauma Audit and Research Network
Dec 7, 2005·Neurosurgery·Andrew I R MaasEwout W Steyerberg
Sep 13, 2006·The Journal of Trauma·Omar BouamraFiona Lecky
Mar 23, 2007·Journal of Neurotrauma·Andrew I R MaasEwout W Steyerberg
Mar 23, 2007·Journal of Neurotrauma·Anthony MarmarouAndrew I R Maas
Mar 23, 2007·Journal of Neurotrauma·Andrew I R MaasGordon D Murray
Mar 23, 2007·Journal of Neurotrauma·Gordon D MurrayEwout W Steyerberg
Feb 14, 2008·BMJ : British Medical Journal·UNKNOWN MRC CRASH Trial CollaboratorsSurakrant Yutthakasemsunt
Aug 8, 2008·PLoS Medicine·Ewout W SteyerbergAndrew I R Maas
Aug 10, 2010·BMC Medical Research Methodology·Mehdi M LeskoFiona E Lecky