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Rotterdam and Marshall Scores for Prediction of in-hospital Mortality in Patients with Traumatic Brain Injury: An observational study by Mohammad Asim; Ayman El-Menyar; Ashok Parchani; Syed Nabir; Mohamed Nadeem Ahmed; Zahoor Ahmed; Ahmed Faidh Ramzee; Abdulaziz Al-Thani; Abdulrahman Al-Abdulmalek; Hassan Al-Thani is a Medicine article available to read on EtoBox.
What is Rotterdam and Marshall Scores for Prediction of in-hospital Mortality in Patients with Traumatic Brain Injury: An observational study about?
## Background: We aimed to assess the prognostic value of Rotterdam and Marshall scoring systems to predict in-hospital mortality in patients with traumatic brain injury (TBI). Methods: A retrospective analysis was conducted for patients with TBI who underwent head computerized tomography (CT) scan at a Level I trauma center between 2011 and 2018. Receiver operating characteristic (ROC) curves were used to determine the cutoff values for predicting in-hospital mortality. Results: A total of 1035 patients with TBI were included with a mean age of 30 years. The mean Rotterdam and Marshall scores were higher among non-survivors (p = .001). Patients with higher Rotterdam (>3) or Marshall (>2) CT scores were older, had higher injury severity scores and in-hospital mortality and had lower GCS and blood ethanol levels than those with lower scores. The cutoff point of Rotterdam score was 3.5 (sensitivity, 61.2%; specificity, 85.6%) and Marshall score was 2.5 (74.3% sensitivity and 76.3% specificity). Multivariable logistic regression analyses showed that Marshall and Rotterdam scoring systems were independent predictors of mortality (odds ratio 8.4; 95% confidence interval 4.95-14.17 and o
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- Author
- Mohammad Asim; Ayman El-Menyar; Ashok Parchani; Syed Nabir; Mohamed Nadeem Ahmed; Zahoor Ahmed; Ahmed Faidh Ramzee; Abdulaziz Al-Thani; Abdulrahman Al-Abdulmalek; Hassan Al-Thani
- Publisher
- Informa UK Limited
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)