Clinical research for the Rotterdam CT scores assessing the prognosis of TBI after standard decompressive craniectomy / 实用医学杂志

ABSTRACT

Objective The study was to determine the relationship between acquired admission and/or pre-operative Rotterdam CT scores and TBI prognosis after standard decompressive craniectomy. Methods We chose 1 108 cases simple TBI patients with unilateral decompressive craniectomy(DC) from January 2011 to May 2016 in our hospital as the research object,and 212 patients which were reached standard were included in our retro-spective study. According to general data analysis,GOS 3 month after injury,the subject were divided into poor prognosis group and good prognosis group.Multiple factors logistic regression analysis was used to determine the re-lationship between acquired admission or preoperative Rotterdam CT scores and mortality or GOS in 3 month after injury. Results A total of 85 patients(40.1%) had a good prognosis and 127(59.9%) had a poor prognosis.A comparative analysis of different admission and preoperative Rotterdam CT scores groups showed the mortality and poor prognosis rates were statistically significant(P=0.00) in 4-6 groups of patients after injury 3 months.Multi-ple factors logistic regression analysis showed admission and preoperative Rotterdam CT scores were significantly as-sociated with mortality and poor prognosis(P<0.05).Conclusions Rotterdam CT scores provide important prog-nostic information of TBI patients with DC. Combined admission Rotterdam CT scores and preoperative Rotterdam CT scores may forecast the early mortality and long-term outcome for TBI patients.