Prognostic value of the Marshall computed tomography classification for traumatic subarachnoid hemorrhage

Wang, Fang; Huang, Xin; Wen, Liang; Gong, Jiangbiao; Wang, Hao; Li, Gu; Zhan, Renya; Yang, Xiaofeng

doi:10.5372/1905-7415.0805.334

Cited by 3 publications

(6 citation statements)

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“…Then, 34 duplicate articles were excluded, and 13 were eliminated after reading the full text. Finally, 10 studies 15 16 17 18 19 20 21 22 23 24 were included for meta-analysis. The literature screening process is shown in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

“…There were 7 articles 15 16 17 20 21 22 24 which reported MCA blood flow velocity before treatment. No heterogeneity was identified among these studies (I 2 = 0.0%, p = 0.961), so FEM was adopted for pooling the effect size.…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, the heterogeneity (I 2 = 96.8%, p < 0.001) was identified in the 10 articles 15 16 17 18 19 20 21 22 23 24 reporting MCA after treatment, so REM was used to pool the effect sizes. The result showed that MCA blood flow velocity after treatment in the treatment group ( n = 443) was significantly lower than that of the control group ( n = 439) (SMD = −1.36, 95% CI: −2.28, −0.49; p = 0.002) ( Figure 4B ).…”

Section: Resultsmentioning

confidence: 99%

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Efficacy of nimodipine in the treatment of subarachnoid hemorrhage: a meta-analysis

et al. 2022

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Background Subarachnoid hemorrhage (SAH) is an uncommon and serious subtype of stroke, which leads to the loss of the patient's ability to produce and live for many years. Objective To investigate the clinical effect of nimodipine in the treatment of SAH. Methods Electronic databases including China National Knowledge Infrastructure (CNKI), VIP, SinoMed, China Master's Theses Full-text Database (CMFD), China Doctoral Dissertations Full-text Database (CDFD), Cochrane Library, PubMed and Embase were searched from 2010 and 2021. All randomized controlled trials evaluating the efficacy of nimodipine in the treatment of SAH were included in our meta-analysis. The patients were divided into control group and treatment group. Meta-analysis was performed with Stata16.0 software. Results A total of 10 studies were included. Compared with the control group, the treatment group had higher effective rate (OR = 3.21, 95% CI: 2.25, 4.58; p < 0.001), and lower incidence of adverse reactions (OR = 0.35, 95% CI: 0.19, 0.67; p = 0.001). Before treatment, no significant differences were identified in middle cerebral artery blood flow velocity and Glasgow coma scale (GCS) score between the two groups. However, after treatment, the middle cerebral artery blood flow velocity (SMD = −1.36, 95% CI: −2.28, −0.49; p = 0.002) and GCS score (SMD = 1.24, 95% CI: 0.58, 1.89; p < 0.001) in the treatment group were significantly better than those in the control group. Conclusions Nimodipine is effective in the treatment of SAH, lowering incidence of adverse reactions and therefore improving the prognosis of patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Efficacy of nimodipine in the treatment of subarachnoid hemorrhage: a meta-analysis

et al. 2022

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“…Kegunaanya penting sebagai suatu variabel prognostik yang independen berdasarkan temuan-temuan pada CT scan, termasuk dalam keadaan daripada sisterna, pergeseran midline, adanya lesi-lesi lokal yang membedakan penderita dalam enam kelompok yang berbeda. 24 Penelitian mengenai hubungan antara fraktur tulang wajah dengan lesi intrakranial oleh Tanuhendrata et al 25 di Manado melaporkan adanya hubungan bermakna dimana semakin berat derajat fraktur tulang wajah semakin besar pula kemungkinan terjadinya lesi intracranial, dan fraktur tulang wajah bagian atas merupakan risiko paling besar untuk terjadinya kelainan intrakranial.…”

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Pengaruh penggunaan helm terhadap cedera kraniofasial berdasarkan skor FISS dan CT Marshall

Mengga¹,

Hatibie²,

Prasetyo³

et al. 2017

JBM

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Helmet can reduce head trauma as well as maxillofacial trauma due to motorcycle accident. This study was aimed to prove the effect of helmet and its type in reducing craniofacial injury. Any intracranial abnormalities were evaluated with the CT Marshall scoring system and maxillofacial abnormalities were evaluated with FISS. This was an analytical comparative study with a cross sectional design. The results showed that there were 72 patients with craniofacial trauma; 59 patients with intracranial abnormalities and 24 patients with maxillofacial abnormalities. There were 43.1% patients that wore helmet; 31.9% of them wore open-face helmet. Data were analyzed by using the unpaired t-tests. Based on FISS, the effect of helmet on maxillofacial injury obtained a t-value of 0.787 (P = 0.217) which indicated that there was no difference in FISS scores between patients wearing helmet and not. Based on the CT Marshall scoring system, the effect of helmet on the intracranial injury obtained a t-value of 1.822 (P = 0.036) which indicated that there was a difference in scores between patients wearing helmet and not. This meant that wearing helmets had some influence on the occurence of head injuries. Based on FISS, the impacts of full-face helmet and open-face helmet on maxillofacial injuries obtained a t-value of 1.890 (P = 0.034) which indicated that there was a difference in FISS between the two types of helmets. Based on the CT Marshall scoring system, the impacts of full-face helmet and open-face helmet on intracranial injuries obtained a t-value of 1.714 (P = 0.049) which indicated that there was a difference in CT Marshall scores between the two types of helmets. Conclusion: Helmet and its type, full-face and open-face, had some influence on the occurence of either maxillofacial or intracranial injuries.Keywords: craniofacial injury, motorcycle, helmetAbstrak: Penggunaan helm dapat mengurangi kejadian trauma kepala dan trauma maksiofasial akibat kecelakaan sepeda motor. Penelitian ini bertujuan untuk membuktikan bahwa pemakaian helm dan tipe helm berperan dalam menurunkan cedera kraniofasial. Abnormalitas intrakranial dievaluasi dengan skoring CT Marshall dan abnormalitas maksilofasial dievaluasi dengan FISS. Jenis penelitian ialah analitik komparatif dengan desain potong lintang. Hasil penelitian mendapatkan 72 pasien dengan trauma kraniofasial; 59 pasien dengan abnormalitas intrakranial dan 24 pasien dengan abnormalitas maksilofasial. Terdapat 43,1% pasien yang menggunakan helm; 31,9% menggunakan helm open-face. Data dianalisis menggyunakan uji t tidak berpasangan. Berdasarkan FISS, efek helm terhadap cedera maksilofasial mendapatkan t = 0,787 (P = 0,217) yag menunjukkan tidak terdapat perbedaan skor antara pasien yang menggunakan dan tidak menggunakan helm. Berdasarkan skoring CT Marshall, efek helm terhadap cedera intrakranial mendapatkan t = 1,822 (P = 0,036) yang menunjukkan terdapat perbedaan skor antara pasien yang menggunakan dan tidak menggunakan helm. Hal ini memperlihatkan bahwa penggunaan helm berpengaruh terhadap kejadian cedera kepala. Berdasarkan FISS, dampak jenis helm full-face dan open-face terhadap cedera maksilofasial mendapatkan t = 1,890 (P = 0,034) yang menyatakan terdapat perbedaan skor FISS antara pengggunaan kedua jenis helm. Berdasarkan skoring CT Marshall, dampak helm full-face dan open-face terhadap cedera intrakranial mendapatkan t = 1,714 (P = 0,049) yang menunjukkan terdapat perbedaan skor CT Marshall antara penggunaan kedua jenis helm. Simpulan: Penggunaan helm dan jenis helm (full-face dan open-face) memengaruhi terjadinya cedera maksilofasial dan intrakranial.Kata kunci: cedera kraniofasial, sepeda motor, helm

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“…63% nos achados tomográficos(WANG et al, 2014). Ademais, diversos autores que demostraram a lesão mais encontrada no TCE sendo predominante nos traumas graves e resultam em piores desfecho, achado esse também confirmado nesse estudo(MODI;AGRAWAL; SINHA, 2016, MORGADO;ROSSI, 2011, SOUZA, 1999.…”

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Registro de traumatismo cranioencefálico de Ribeirão Preto (ReTER): validação do instrumento Neurological Outcomes Scale for Traumatic Brain Injury (NOS-TBI) e estudo coorte prospectivo

Weber¹

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Prognostic value of the Marshall computed tomography classification for traumatic subarachnoid hemorrhage

Cited by 3 publications

References 20 publications

Efficacy of nimodipine in the treatment of subarachnoid hemorrhage: a meta-analysis

Efficacy of nimodipine in the treatment of subarachnoid hemorrhage: a meta-analysis

Pengaruh penggunaan helm terhadap cedera kraniofasial berdasarkan skor FISS dan CT Marshall

Registro de traumatismo cranioencefálico de Ribeirão Preto (ReTER): validação do instrumento Neurological Outcomes Scale for Traumatic Brain Injury (NOS-TBI) e estudo coorte prospectivo

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