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在儿童创伤性脑损伤中,BIG得分有多重要?

Nazan Ulgen Tekerek¹, Erdem Cebisli², Mine Erkan³

¹Pediatric Intensive Care Unit, Faculty of Medicine, Department of Child Health and Diseases Secretariat, Akdeniz University, Akdeniz University Hospital, Dumlupınar Boulevard, Campus, H Block 2 Floor, 07070, Antalya, Turkey. nazanulgen@gmail.com.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

|February 15, 2024

概括

BIG评分有效预测儿科创伤性脑损伤 (TBI) 患者的死亡率. 这种简单的评分系统显示出高可靠性和准确性,与其他已建立的措施相比.

科学领域:

儿科重症监护医药儿科重症监护医药
神经创伤学是神经创伤学.
临床评分系统临床评分系统

背景情况:

创伤性脑损伤 (TBI) 是儿童死亡的一个重要原因.
评估评分系统的可靠性对于准确的预后至关重要.

研究的目的:

评估儿童TBI死亡率的BIG评分的预测可靠性.
将BIG评分的表现与其他已建立的评分系统进行比较.

主要方法:

在2014年至2019年期间入院到第三级参考医院的儿科重症监护室 (PICU) 的儿科TBI患者的回顾性分析.
对BIG评分,伤害严重性评分 (ISS) 和儿科死亡风险 (PRISM) 的评估 III.

主要成果:

在非幸存者中,BIG,ISS和PRISM III分数显著更高 (p < 0.001).
在预测死亡率方面,BIG评分表现出高准确度 (AUC 0.962),与ISS (AUC 0.952) 和PRISM III (AUC 0.981) 相美.
在孤立的TBI病例中,BIG得分显示出优异的预测值 (AUC 0.988).

结论:

BIG评分是一个简单而快速计算的工具,用于预测儿科TBI的死亡率和疾病严重程度.
建议进行进一步的前性研究,以在更大的队列中验证这些发现.

关键词:

这是一个很大的分数,比较大的分数.孩子孩子孩子孩子孩子孩子创伤性脑损伤是一种创伤性脑损伤.

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Traumatic Brain Injury l: Introduction

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DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...