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Outcome Of Traumatic Brain Injury In Children By Using Rotterdam Score On Computed Tomography

Anwarul Haque1, Zehra Dhanani1, Amin Ali1

  • 1Department of Paediatrics and Child Health, Aga Khan University Hospital, Karachi, Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC
|March 6, 2018
PubMed

Insights

The Rotterdam Score (RS) on CT head effectively predicts mortality in pediatric Traumatic Brain Injury (TBI) patients. Higher RS scores correlate with increased mortality risk in children admitted to the pediatric intensive care unit (PICU).

Area of Science:

  • Pediatric critical care medicine
  • Neurotrauma research
  • Radiological imaging interpretation

Background:

  • The Rotterdam Score (RS) is an emerging tool for predicting mortality in Traumatic Brain Injury (TBI).
  • Assessing the utility of RS in pediatric TBI cases admitted to a tertiary-care PICU is crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of the Rotterdam Score (RS) in predicting mortality among children with TBI.
  • To analyze the association between RS values and patient outcomes in a pediatric intensive care unit (PICU) setting.

Main Methods:

  • A prospective observational study included 92 children (1 month to 16 years) with TBI from 2013-2016.
  • Rotterdam Scores (RS) were calculated by a radiologist from CT head scans; patients received care per 2012 guidelines.
  • Logistic regression analysis examined the relationship between RS and mortality.

Main Results:

  • The median age of patients was 77 months, with 79% being male; Road Traffic Accidents (RTA) were the most common cause of injury.
  • A higher RS was associated with increased mortality rates.
  • The RS demonstrated a significant association with mortality (OR 1.75, 95% CI 1.03-2.95; p<0.04).

Conclusions:

  • The Rotterdam Score (RS) is a valuable tool for predicting mortality in pediatric patients diagnosed with TBI.
  • Implementing RS in clinical practice can aid in risk stratification and management of pediatric TBI cases.
Abstract

Keywords:
CT scanChildrenMortalityRotterdam scoreTBI

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