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Related Experiment Video

Updated: Mar 30, 2026

Development of an Uncomplicated Mild Traumatic Brain Injury Model Modified by Weight-Drop Method and Evidenced by Magnetic Resonance Imaging
08:27

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Radiographic and Clinical Predictors of Cardiac Dysfunction Following Isolated Traumatic Brain Injury.

Alfredo E Urdaneta1, Kathleen R Fink2, Vijay Krishnamoorthy1

  • 11 Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA, USA.

Journal of Intensive Care Medicine
|November 21, 2015
PubMed
Summary

Radiographic severity scores like Marshall and Rotterdam did not predict cardiac dysfunction after traumatic brain injury (TBI). Head Abbreviated Injury Scale was a predictor of systolic dysfunction in TBI patients.

Keywords:
Marshall scoreRotterdam scoreagebrain injurycardiac dysfunctioncardiac outputcomputed tomographycritical careheart brain interactioninjury severityneurocritical careneurogenic-mediated cardiac dysfunctionradiologic predictorssubdural hemorrhagetraumatic brain injury

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Area of Science:

  • Neuroscience
  • Cardiology
  • Radiology

Background:

  • Cardiac dysfunction is a known complication of traumatic brain injury (TBI).
  • Limited data exists on the association between TBI's radiographic severity and specific lesions with cardiac dysfunction.
  • This study investigates the link between TBI severity scores and cardiac dysfunction.

Purpose of the Study:

  • To determine if Rotterdam or Marshall scores and specific TBI lesions correlate with cardiac dysfunction development after isolated TBI.
  • To identify radiographic predictors of cardiac dysfunction post-TBI.

Main Methods:

  • Retrospective cohort study of 139 adult patients with isolated TBI.
  • Echocardiography was performed post-TBI.
  • Radiographic severity was assessed using Rotterdam and Marshall scores, and head Abbreviated Injury Scale by a neuroradiologist.

Main Results:

  • No association was found between Marshall or Rotterdam scores and cardiac dysfunction.
  • Head Abbreviated Injury Scale independently predicted systolic cardiac dysfunction (RR: 2.70, 95% CI: 1.19-6.13, P = .02).
  • 20 out of 139 patients experienced isolated systolic dysfunction.

Conclusions:

  • No specific radiographic variable independently predicted cardiac dysfunction after TBI.
  • Further research is needed to identify clinical or radiological features that may guide echocardiogram use in TBI patients.
  • Echocardiography may help direct patient management in TBI cases.