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解读计算机断层扫描评分系统在改善创伤性脑损伤死亡率预测方面的有效性:系统性审查和文献识别分析
Astrid Ekklesia Saputri1, Eunike Priscila1, Rian Ka Praja2
1Faculty of Medicine, Universitas Palangka Raya, Palangka Raya, Indonesia.
Journal of trauma and injury
|June 25, 2025
概括
赫尔辛基CT评分在预测创伤性脑损伤患者的死亡率和长期预后方面提供了最高的准确性. 自2015年以来,对这种评分系统的研究一直在稳步增加.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 创伤性脑损伤 (TBI) 显著影响患者的生活质量和生理健康.
- 有效的风险分层和死亡率预测对于管理TBI患者至关重要.
研究的目的:
- 为了比较各种计算机断层扫描 (CT) 评分系统在预测TBI患者的死亡率和分层风险方面的有效性.
- 分析CT评分系统在TBI管理中的应用趋势.
主要方法:
- 使用VOSviewer对72个Scopus索引文档进行了文献计量分析.
- 按照2020年PRISMA指南进行系统审查,搜索PubMed,Scopus和谷歌学者 (2003-2024年).
- 198个期刊的识别和过,减少到6个符合纳入标准的期刊.
主要成果:
- 观察到使用CT评分系统用于诊断和死亡率预测的趋势.
- 鹿特丹CT评分显示,2017年链接强度高,频繁发布.
- 马歇尔CT得分在2020年后的研究中占据了重要地位,而赫尔辛基CT得分尽管敏感,但却得到了较少的关注.
结论:
- 赫尔辛基CT得分显示了TBI中死亡率和长期预后的最高预测准确度.
- 鹿特丹和马歇尔CT得分也显示出死亡率预测的潜力.
- 自2015年以来,对赫尔辛基CT评分的研究兴趣不断增加.
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