scholarly journals Prediction of neurosurgical intervention after mild traumatic brain injury using the national trauma data bank

2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Timothy E. Sweeney ◽  
Arghavan Salles ◽  
Odette A. Harris ◽  
David A. Spain ◽  
Kristan L. Staudenmayer
2016 ◽  
Vol 27 (1) ◽  
pp. 90-95 ◽  
Author(s):  
Shahram Majidi ◽  
Yamane Makke ◽  
Amr Ewida ◽  
Bahareh Sianati ◽  
Adnan I. Qureshi ◽  
...  

2019 ◽  
Vol 229 (4) ◽  
pp. S191
Author(s):  
Sung Huang Laurent Tsai ◽  
Anshit Goyal ◽  
Mohammed Ali Alvi ◽  
Waseem Wahood ◽  
Elizabeth B. Habermann ◽  
...  

2016 ◽  
Vol 124 (2) ◽  
pp. 538-545 ◽  
Author(s):  
Kevin James Tierney ◽  
Natasha V. Nayak ◽  
Charles J. Prestigiacomo ◽  
Ziad C. Sifri

OBJECT The object of this study was to determine the mortality and neurological outcome of patients with mild traumatic brain injury (mTBI) who require neurosurgical intervention (NSI), identify clinical predictors of a poor outcome, and investigate the effect of failed nonoperative management and delayed NSI on outcome. METHODS A cross-sectional study of 10 years was performed, capturing all adults with mTBI and NSI. Primary outcome variables were mortality and Glasgow Outcome Scale (GOS) score. Patients were divided into an immediate intervention group, which received an NSI after the initial cranial CT scan, and a delayed intervention group, which had failed nonoperative management and received an NSI after 2 or more cranial CT scans. RESULTS The mortality rate in mTBI patients requiring NSI was 13%, and the mean GOS score was 3.6 ± 1.2. An age > 60 years was independently predictive of a worse outcome, and epidural hematoma was independently predictive of a good outcome. Logistic regression analysis using independent variables was calculated to create a model for predicting poor neurological outcomes in patients with mTBI undergoing NSI and had 74.1% accuracy. Patients in the delayed intervention group had worse mortality (25% vs 9%) and worse mean GOS scores (2.9 ± 1.3 vs 3.7 ± 1.2) than those in the immediate intervention group. CONCLUSIONS Data in this study demonstrate that patients with mTBI requiring NSI have higher mortality rates and worse neurological outcomes and should therefore be classified separately from mTBI patients not requiring NSI. Additionally, mTBI patients requiring NSI after the failure of nonoperative management have worse outcomes than those receiving immediate intervention and should be considered separately.


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