Computerized Tomography-Based Scoring Systems (Marshall and Rotterdam score) versus Physiological Scoring Systems (GCS and APACHE II score) in Predicting Mortality in Traumatic Brain Injury

Kadir Arslan; Ümmihan Topal; Ayça Sultan Şahin

Makale detayları

Computerized Tomography-Based Scoring Systems (Marshall and Rotterdam score) versus Physiological Scoring Systems (GCS and APACHE II score) in Predicting Mortality in Traumatic Brain Injury

Yazarlar:

Kadir Arslan | Ümmihan Topal | Ayça Sultan Şahin

Yayıncı:

Marmara University

Ana Başlıklar:

Anaesthesiology | Intensive Care

Dergi:

Clinical and Experimental Health Sciences Vol.15 Issue 1, pp.83-89

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001343253

pISSN:

2459-1459

Anahtar kelimeler:

Özet:

 Objective: Since traumatic brain injury TBI has high mortality rates, it is essential to identify patients with poor prognosis. In this study, the mortality prediction performances of the Glasgow Coma Scale GCS, Acute Physiology and Chronic Health Assessment-II APACHE-II, Marshall, and Rotterdam scores were compared in patients with TBI in the intensive care unit ICU of a tertiary center. Methods: Patients followed up in the ICU due to moderate to severe TBI between January 2020 and January 2022 were retrospectively reviewed. Patients were classified as survivor and nonsurvivor groups. The patients clinical characteristics and the scoring systems performance in predicting 28-day mortality were investigated. Results: A total of 150 patients were included in the study, and 82.4 n98 were male. GCS scores were significantly lower in the nonsurvivor group, while APACHE-II, Marshall, and Rotterdam scores were significantly higher p  .001 for all. GCS, APACHE-II, and Rotterdam scores were independent predictors of mortality p  .002, p  .012, and p  .003, respectively. Receiver operating characteristics curve analysis revealed that GCS cut-off value was 6.5, area under the curve AUC0.851, APACHE-II cut-off value was  21.5, AUC0.866, Marshall cut-off value was  3.5, AUC0.827 and Rotterdam cut-off value was  3.5, AUC0.864. Conclusion: GCS, APACHE-II, Marshall, and Rotterdam scores are valid in predicting mortality in patients with TBI. Their performance in predicting mortality is ranked from highest to lowest as APACHE-II, Rotterdam, GCS, and Marshall.

 Objective: Since traumatic brain injury TBI has high mortality rates, it is essential to identify patients with poor prognosis. In this study, the mortality prediction performances of the Glasgow Coma Scale GCS, Acute Physiology and Chronic Health Assessment-II APACHE-II, Marshall, and Rotterdam scores were compared in patients with TBI in the intensive care unit ICU of a tertiary center. Methods: Patients followed up in the ICU due to moderate to severe TBI between January 2020 and January 2022 were retrospectively reviewed. Patients were classified as survivor and nonsurvivor groups. The patients clinical characteristics and the scoring systems performance in predicting 28-day mortality were investigated. Results: A total of 150 patients were included in the study, and 82.4 n98 were male. GCS scores were significantly lower in the nonsurvivor group, while APACHE-II, Marshall, and Rotterdam scores were significantly higher p  .001 for all. GCS, APACHE-II, and Rotterdam scores were independent predictors of mortality p  .002, p  .012, and p  .003, respectively. Receiver operating characteristics curve analysis revealed that GCS cut-off value was 6.5, area under the curve AUC0.851, APACHE-II cut-off value was  21.5, AUC0.866, Marshall cut-off value was  3.5, AUC0.827 and Rotterdam cut-off value was  3.5, AUC0.864. Conclusion: GCS, APACHE-II, Marshall, and Rotterdam scores are valid in predicting mortality in patients with TBI. Their performance in predicting mortality is ranked from highest to lowest as APACHE-II, Rotterdam, GCS, and Marshall.

 Objective: Since traumatic brain injury TBI has high mortality rates, it is essential to identify patients with poor prognosis. In this study, the mortality prediction performances of the Glasgow Coma Scale GCS, Acute Physiology and Chronic Health Assessment-II APACHE-II, Marshall, and Rotterdam scores were compared in patients with TBI in the intensive care unit ICU of a tertiary center. Methods: Patients followed up in the ICU due to moderate to severe TBI between January 2020 and January 2022 were retrospectively reviewed. Patients were classified as survivor and nonsurvivor groups. The patients clinical characteristics and the scoring systems performance in predicting 28-day mortality were investigated. Results: A total of 150 patients were included in the study, and 82.4 n98 were male. GCS scores were significantly lower in the nonsurvivor group, while APACHE-II, Marshall, and Rotterdam scores were significantly higher p  .001 for all. GCS, APACHE-II, and Rotterdam scores were independent predictors of mortality p  .002, p  .012, and p  .003, respectively. Receiver operating characteristics curve analysis revealed that GCS cut-off value was 6.5, area under the curve AUC0.851, APACHE-II cut-off value was  21.5, AUC0.866, Marshall cut-off value was  3.5, AUC0.827 and Rotterdam cut-off value was  3.5, AUC0.864. Conclusion: GCS, APACHE-II, Marshall, and Rotterdam scores are valid in predicting mortality in patients with TBI. Their performance in predicting mortality is ranked from highest to lowest as APACHE-II, Rotterdam, GCS, and Marshall.

 Objective: Since traumatic brain injury TBI has high mortality rates, it is essential to identify patients with poor prognosis. In this study, the mortality prediction performances of the Glasgow Coma Scale GCS, Acute Physiology and Chronic Health Assessment-II APACHE-II, Marshall, and Rotterdam scores were compared in patients with TBI in the intensive care unit ICU of a tertiary center. Methods: Patients followed up in the ICU due to moderate to severe TBI between January 2020 and January 2022 were retrospectively reviewed. Patients were classified as survivor and nonsurvivor groups. The patients clinical characteristics and the scoring systems performance in predicting 28-day mortality were investigated. Results: A total of 150 patients were included in the study, and 82.4 n98 were male. GCS scores were significantly lower in the nonsurvivor group, while APACHE-II, Marshall, and Rotterdam scores were significantly higher p  .001 for all. GCS, APACHE-II, and Rotterdam scores were independent predictors of mortality p  .002, p  .012, and p  .003, respectively. Receiver operating characteristics curve analysis revealed that GCS cut-off value was 6.5, area under the curve AUC0.851, APACHE-II cut-off value was  21.5, AUC0.866, Marshall cut-off value was  3.5, AUC0.827 and Rotterdam cut-off value was  3.5, AUC0.864. Conclusion: GCS, APACHE-II, Marshall, and Rotterdam scores are valid in predicting mortality in patients with TBI. Their performance in predicting mortality is ranked from highest to lowest as APACHE-II, Rotterdam, GCS, and Marshall.

Makale detayları

Computerized Tomography-Based Scoring Systems (Marshall and Rotterdam score) versus Physiological Scoring Systems (GCS and APACHE II score) in Predicting Mortality in Traumatic Brain Injury

Yazarlar:

Kadir Arslan | Ümmihan Topal | Ayça Sultan Şahin

Yayıncı:

Marmara University

Ana Başlıklar:

Anaesthesiology | Intensive Care

Dergi:

Clinical and Experimental Health Sciences Vol.15 Issue 1, pp.83-89

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001343253

pISSN:

2459-1459

Acute physiology and chronic health evaluation II (APACHE II)

Glasgow coma scale

in-hospital mortality

scoring system

traumatic brain injury

Sayı

Makale detayları

Computerized Tomography-Based Scoring Systems (Marshall and Rotterdam score) versus Physiological Scoring Systems (GCS and APACHE II score) in Predicting Mortality in Traumatic Brain Injury

Yazarlar: Kadir Arslan | Ümmihan Topal | Ayça Sultan Şahin

Yayıncı: Marmara University

Ana Başlıklar: Anaesthesiology | Intensive Care

Dergi: Clinical and Experimental Health Sciences Vol.15 Issue 1, pp.83-89

Belge Tipi: Makale

Yayın Tarihi: 3/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001343253

pISSN: 2459-1459

Acute physiology and chronic health evaluation II (APACHE II)

Glasgow coma scale

in-hospital mortality

scoring system

traumatic brain injury

Sayı

Yazarlar:

Kadir Arslan | Ümmihan Topal | Ayça Sultan Şahin

Yayıncı:

Marmara University

Ana Başlıklar:

Anaesthesiology | Intensive Care

Dergi:

Clinical and Experimental Health Sciences Vol.15 Issue 1, pp.83-89

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001343253

pISSN:

2459-1459