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The Prediction of Outcomes in Patients Admitted With Traumatic Brain Injury Using the Rotterdam Score
Farrukh Javeed1, Lal Rehman1, Mehar Masroor2
1Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, PAK.
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.
