Identification of clinical and radiological predictors of outcome in head trauma patients in the emergency department

Ismail, Dina A.

doi:10.17812/blj.2015.3311

Biolife

2015

DOI: 10.17812/blj.2015.3311

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Identification of clinical and radiological predictors of outcome in head trauma patients in the emergency department

Dina A. Ismail¹

Abstract: The purpose of this investigation was to identify the clinical and radiological predictors of outcome including (age, GCS, RTS, GAP, CT finding, systemic injuries, mode of trauma and pupil reactivity) in patients with isolated head trauma presented to the Emergency Department at Alexandria Main University Hospital. Mortality rate is higher in older age group above of 60 (83%) it was highly significant (<0.001*). In patients having only tSAH (34% of total), 75 patients (62.5%) had poor outcome. patients had a G… Show more

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2024

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The Revised Trauma Score: A Better Early Predictor for Survival of Head Trauma Patients than the Glasgow Coma Scale-Age-Pressure Score

Patel,

Ghag,

Iyer

et al. 2024

J Acute Care Surg

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Purpose: Trauma is a common cause of death worldwide and head injury is the most common form of trauma presented at the Emergency Department. Physiological scores are better for predicting outcome than anatomical scores. To reduce mortality rates, this study compared the capacity of the revised trauma scores (RTS) and the Glasgow coma scale- age- pressure (GAP) scores to predict the survival of patients and effectively channel resources.Methods: An observational study of head trauma patients aged 12 to 80 years was performed at a tertiary care center (N = 500). We noted demographic information, RTS and GAP trauma scores, and outcomes in terms of mortality or survival at 24 hours, 48 hours, and 7 days.Results: Of the 500 patients who were enrolled, 414 (82.8%) survived 24 hours, 373 (74.6%) survived 48 hours, and 265 (53%) survived after 7 days. Using the Receiver Operating Characteristic curve, the RTS score was a significantly better predictor of survival in patients with head trauma than the GAP score at 24 hours (p = 0.044) and 48 hours (p = 0.049) of admission. The results were not significantly different at 7 days (p = 0.240). Mortality or survival outcomes were not significantly different between the RTS and GAP scores (p = 0.373).Conclusion: RTS appears to be a better early predictor for mortality (within 48 hours of admission) than the GAP score. The RTS was more effective in directing the triage of patients which improved survival rates in head trauma patients.

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The Revised Trauma Score: A Better Early Predictor for Survival of Head Trauma Patients than the Glasgow Coma Scale-Age-Pressure Score

Patel,

Ghag,

Iyer

et al. 2024

J Acute Care Surg

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show abstract

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Identification of clinical and radiological predictors of outcome in head trauma patients in the emergency department

Cited by 1 publication

References 10 publications

The Revised Trauma Score: A Better Early Predictor for Survival of Head Trauma Patients than the Glasgow Coma Scale-Age-Pressure Score

The Revised Trauma Score: A Better Early Predictor for Survival of Head Trauma Patients than the Glasgow Coma Scale-Age-Pressure Score

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