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Published on: August 16, 2019
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Geriatric Traumatic Brain Injury: An Attempt to Predict Outcome Using a Nomogram
Abhyuday Visen1, Jinendra K Ramalingam, Ponraj K Sundaram
1Department of Neurosurgery, Goa Medical College, Bambolim, Goa, India.
Neurology India
|December 18, 2024
Summary
This study developed a prognostic model for elderly traumatic brain injury (TBI) patients. The model uses Glasgow Coma Scale, Rotterdam Score, and coagulation status to predict outcomes in geriatric TBI.
Area of Science:
- Neuroscience
- Geriatrics
- Trauma Surgery
Background:
- Geriatric population is increasing, leading to a rise in traumatic brain injury (TBI) cases among the elderly.
- Effective prognostic models are crucial for managing TBI in this vulnerable demographic.
Purpose of the Study:
- To identify factors correlating with outcomes in elderly TBI patients.
- To develop a prognostic model for geriatric TBI.
Main Methods:
- Prospective analysis of 220 TBI patients aged 60 years and above.
- Exclusion of patients without TBI imaging findings, chronic subdural hematoma, or lesional intracranial hemorrhage.
- Multivariate regression analysis to identify independent prognostic factors.
Main Results:
- The study analyzed 220 elderly TBI patients, with motor vehicle accidents and falls being common injury causes.
- Glasgow Coma Scale (GCS), Rotterdam Score (RS), and coagulation abnormality were identified as independent prognostic factors.
- A nomogram was designed using these three variables to predict outcomes.
Conclusions:
- A nomogram incorporating GCS, RS, and coagulation abnormality can serve as a prognostic model for geriatric TBI.
- This model addresses the need for specific prognostic tools in elderly TBI patients.
