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A Nomogram for Predicting Prognostic Assessment of Traumatic Intracranial Hematoma: A Retrospective Cohort Study
Jian-Rong Yu1, Hai Hu2, Zhu Da-Qing3
1Department of Neurosurgery, The People's Hospital of Wuyuan County, Shangrao, China.
Background:
This retrospective study aimed to identify key prognostic factors for patients with traumatic intracranial hemorrhage (TICH) and develop a comprehensive nomogram for prognostic assessment.
Methods:
A retrospective study was carried out on TICH patients at a single-center hospital from October 2013 to September 2022. Using logistic regression analyses, key prognostic factors for TICH were identified and used to create a predictive nomogram model. This model was internally validated for its reliability and accuracy.
Results:
The study included 252 TICH patients. Age ≥ 45 years (odds ratio [OR]: 3.13; 95% confidence interval [CI]: 1.27-5.36; P = 0.002), preoperative Glasgow Coma Scale score <5 (OR: 3.93; 95% CI: 2.26-7.35; P < 0.001), traumatic coagulation abnormalities status (OR: 1.67; 95% CI: 1.13-3.32; P = 0.035), and hematoma volume (P < 0.001) were identified as independent prognostic factors for TICH patients. A comprehensive predictive model was constructed based on these factors and internally validated to ensure its reliability and robustness.
Conclusions:
Age, Glasgow Coma Scale scores, traumatic coagulation abnormalities status, and hematoma volume are independent prognostic factors for TICH. This model offers a valuable tool for clinicians in assessing TICH patient outcomes, warranting further validation and exploration of additional predictive factors for enhanced prognostic accuracy.
