Commonly available CT characteristics and prediction of outcome in traumatic brain injury patients

Main Article Content

Anil Kumar
Umamaheswara Reddy V.
Vasuki Pratyusha
Ashok Munivenkatappa
Ranabir Pal
Kishore V. Hegde
Ranjan Jena
Satish Kumar S.
Amit Agrawal

Abstract

Background: Acute Computerized Tomography (CT) characteristics are used widely and most accepted for prediction of outcome among Traumatic Brain Injury (TBI). The commonly available and simple combinations of existing and unexplored CT parameters may be more useful in prediction of outcome. The present study explores commonly available CT characteristics by possible combinations based on anatomical basics.
Methods: Abnormal CT sign was considered with any cranial lesion. Based on anatomical locations of cortical lobes, nine possibilities were made that include individual and combinations of mentioned lobes. The laterality was either right or left or bilateral. The outcome was favourable or unfavourable based on discharge Glasgow Outcome Scale (GOS). Binary logistic regression was used to predict outcome.
Results: 452 patients were recruited in the present study. There was significant risk of unfavourable outcome among patients with location of Sub Dural Haemorrhage (SDH) in Parietal + Temporal region (OR=10,p<0.001); Cerebral Contusion in Temporal region (OR=3,p=0.03), Frontal + Temporal region(OR=16,P=0.001), Frontal + Parietal + Temporal region (OR=18.7,p<0.001). Patients with four abnormal CT signs had worst outcome. Presence of SDH on right side (OR=4.5,p<0.001) and bilateral Cerebral Contusion (OR=4.5,p=0.003) was at the risk of unfavourable outcome.
Conclusion: The present study based on anatomical classification has shown that location and laterality of lesion can significantly predict TBI outcome.

Article Details

How to Cite
Kumar, A., Reddy V., U., Pratyusha, V., Munivenkatappa, A., Pal, R., Hegde, K. V., Jena, R., S., S. K., & Agrawal, A. (2017). Commonly available CT characteristics and prediction of outcome in traumatic brain injury patients. Romanian Neurosurgery, 31(1), 101–110. Retrieved from https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/978
Section
Articles
Author Biographies

Anil Kumar

Resident of Neurosurgery, Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, INDIA

Umamaheswara Reddy V.

Assistant Professor of Radiology, Department of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, INDIA

Vasuki Pratyusha

Department of Biostatistics and Epidemiology, National Institute of Mental Health and Neurosciences, Bangalore, INDIA

Ashok Munivenkatappa

MBBS, PhD: Scientist C, VRDL project, National Institute of Epidemiology, ICMR, Chennai – 77, Tamil Nadu, INDIA

Ranabir Pal

Department of Community Medicine, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair – 744104, INDIA

Kishore V. Hegde

Professor of Radiology, Department of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, INDIA

Ranjan Jena

Assistant Professor of Neurosurgery, Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, INDIA

Satish Kumar S.

Associate Professor of Emergency Medicine, Department of Emergency Medicine, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, INDIA

Amit Agrawal

Professor of Neurosurgery, Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, INDIA