Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury
Chaiyaporn Yuksen,1 Yuwares Sittichanbuncha,1 Jayanton Patumanond,2 Sombat Muengtaweepongsa,3 Kittisak Sawanyawisuth4,5 1Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, 2Clinical Epidemiology Unit and Clinical Research Center, Faculty of Med...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-02-01
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| Series: | Therapeutics and Clinical Risk Management |
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| Online Access: | https://www.dovepress.com/clinical-predictive-score-of-intracranial-hemorrhage-in-mild-traumatic-peer-reviewed-article-TCRM |
| _version_ | 1818985268844167168 |
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| author | Yuksen C Sittichanbuncha Y Patumanond J Muengtaweepongsa S Sawanyawisuth K |
| author_facet | Yuksen C Sittichanbuncha Y Patumanond J Muengtaweepongsa S Sawanyawisuth K |
| author_sort | Yuksen C |
| collection | DOAJ |
| description | Chaiyaporn Yuksen,1 Yuwares Sittichanbuncha,1 Jayanton Patumanond,2 Sombat Muengtaweepongsa,3 Kittisak Sawanyawisuth4,5 1Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, 2Clinical Epidemiology Unit and Clinical Research Center, Faculty of Medicine, Thammasat University, Pathum Thani, 3Department of Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, 4Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 5Sleep Apnea Research Group, Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), and Research and Training Center for Enhancing Quality of Life of Working Age People, Khon Kaen University, Khon Kaen, Thailand Background: Mild traumatic brain injury (TBI) is a common condition at the Emergency Medicine Department. Head computer tomography (CT) scans in mild TBI patients must be properly justified in order to avoid unnecessary exposure to X-rays and to reduce the hospital/transfer costs. This study aimed to evaluate which clinical factors are associated with intracranial hemorrhage in Asian population and to develop a user-friendly predictive model.Methods: The study was conducted retrospectively at the Emergency Medicine Department in Ramathibodi Hospital, a university-affiliated super tertiary care hospital in Bangkok, Thailand. The study period was between September 2013 and August 2016. The inclusion criteria were age >15 years and having received a head CT scan after presenting with mild TBI. Those patients with mild TBI and no symptoms/deterioration after 24 h of clinical observation were excluded. The predictive model and prediction score for intracranial hemorrhage was developed by multivariate logistic regression analysis.Results: During the study period, there were 708 patients who met the study criteria. Of those, 100 patients (14.12%) had positive head CT scan results. There were seven independent factors that were predictive of intracranial hemorrhage. The clinical risk scores to predict intracranial hemorrhage are developed with an accuracy of 92%. The score of >3 had the likelihood of intracranial hemorrhage by 1.47 times.Conclusion: Clinical predictive score of >3 was associated with intracranial hemorrhage in mild TBI. Keywords: predictive model, CT brain, risk score |
| first_indexed | 2024-12-20T18:32:12Z |
| format | Article |
| id | doaj.art-1a51b3968fe24cf5b7a25e36186f097f |
| institution | Directory Open Access Journal |
| issn | 1178-203X |
| language | English |
| last_indexed | 2024-12-20T18:32:12Z |
| publishDate | 2018-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Therapeutics and Clinical Risk Management |
| spelling | doaj.art-1a51b3968fe24cf5b7a25e36186f097f2022-12-21T19:30:00ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2018-02-01Volume 1421321836633Clinical predictive score of intracranial hemorrhage in mild traumatic brain injuryYuksen CSittichanbuncha YPatumanond JMuengtaweepongsa SSawanyawisuth KChaiyaporn Yuksen,1 Yuwares Sittichanbuncha,1 Jayanton Patumanond,2 Sombat Muengtaweepongsa,3 Kittisak Sawanyawisuth4,5 1Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, 2Clinical Epidemiology Unit and Clinical Research Center, Faculty of Medicine, Thammasat University, Pathum Thani, 3Department of Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, 4Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 5Sleep Apnea Research Group, Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), and Research and Training Center for Enhancing Quality of Life of Working Age People, Khon Kaen University, Khon Kaen, Thailand Background: Mild traumatic brain injury (TBI) is a common condition at the Emergency Medicine Department. Head computer tomography (CT) scans in mild TBI patients must be properly justified in order to avoid unnecessary exposure to X-rays and to reduce the hospital/transfer costs. This study aimed to evaluate which clinical factors are associated with intracranial hemorrhage in Asian population and to develop a user-friendly predictive model.Methods: The study was conducted retrospectively at the Emergency Medicine Department in Ramathibodi Hospital, a university-affiliated super tertiary care hospital in Bangkok, Thailand. The study period was between September 2013 and August 2016. The inclusion criteria were age >15 years and having received a head CT scan after presenting with mild TBI. Those patients with mild TBI and no symptoms/deterioration after 24 h of clinical observation were excluded. The predictive model and prediction score for intracranial hemorrhage was developed by multivariate logistic regression analysis.Results: During the study period, there were 708 patients who met the study criteria. Of those, 100 patients (14.12%) had positive head CT scan results. There were seven independent factors that were predictive of intracranial hemorrhage. The clinical risk scores to predict intracranial hemorrhage are developed with an accuracy of 92%. The score of >3 had the likelihood of intracranial hemorrhage by 1.47 times.Conclusion: Clinical predictive score of >3 was associated with intracranial hemorrhage in mild TBI. Keywords: predictive model, CT brain, risk scorehttps://www.dovepress.com/clinical-predictive-score-of-intracranial-hemorrhage-in-mild-traumatic-peer-reviewed-article-TCRMpredictive modelCT brainrisk score |
| spellingShingle | Yuksen C Sittichanbuncha Y Patumanond J Muengtaweepongsa S Sawanyawisuth K Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury Therapeutics and Clinical Risk Management predictive model CT brain risk score |
| title | Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury |
| title_full | Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury |
| title_fullStr | Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury |
| title_full_unstemmed | Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury |
| title_short | Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury |
| title_sort | clinical predictive score of intracranial hemorrhage in mild traumatic brain injury |
| topic | predictive model CT brain risk score |
| url | https://www.dovepress.com/clinical-predictive-score-of-intracranial-hemorrhage-in-mild-traumatic-peer-reviewed-article-TCRM |
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