Nomogram for predicting traumatic subdural effusion after mild traumatic brain injury
ObjectiveTraumatic subdural effusion (TSE) is a common complication of traumatic brain injury (TBI). This study aimed to determine the risk factors associated with subdural effusion and to propose a nomogram to predict the risk of TSE in patients with mild TBI.MethodsWe retrospectively analyzed 120...
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| Format: | Article |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.947976/full |
| _version_ | 1811188084265451520 |
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| author | Lichao Wei Bowen Chang Zhi Geng Ming Chen Yongsheng Cao Liang Yao Chao Ma |
| author_facet | Lichao Wei Bowen Chang Zhi Geng Ming Chen Yongsheng Cao Liang Yao Chao Ma |
| author_sort | Lichao Wei |
| collection | DOAJ |
| description | ObjectiveTraumatic subdural effusion (TSE) is a common complication of traumatic brain injury (TBI). This study aimed to determine the risk factors associated with subdural effusion and to propose a nomogram to predict the risk of TSE in patients with mild TBI.MethodsWe retrospectively analyzed 120 patients with mild TBI between January 2015 and December 2020 at the Third People's Hospital of Hefei. The risk factors of TSE were selected using univariate and multivariable logistic regression analysis. A nomogram was developed to predict the incidence of TSE. Receiver operating characteristics and calibration plots were used to evaluate the discrimination and fitting performance.ResultsOf the 120 patients, 32 developed subdural effusion after mild TBI. Univariate analysis showed that gender, age, history of hypertension, traumatic subarachnoid hemorrhage, subdural hematoma, basilar skull fracture, and cerebral contusion were varied significantly between groups (p < 0.05). Logistic multivariate regression analysis showed that the gender, age, history of hypertension, and basilar skull fracture were independent risk factors for TSE. Based on these results, a nomogram model was developed. The C-index of the nomogram was 0.78 (95% CI: 0.70–0.87). The nomogram had an area under the receiver operating characteristic curve of 0.78 (95% CI: 0.70–0.87). The calibration plot demonstrated the goodness of fit between the nomogram predictions and actual observations.ConclusionGender, age, history of hypertension, and basilar skull fracture can be used in a nomogram to predict subdural effusion after mild TBI. |
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| id | doaj.art-3fcafb99841a4ade9c3c1ffb5c38622d |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-11T14:14:25Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-3fcafb99841a4ade9c3c1ffb5c38622d2022-12-22T04:19:35ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-09-011310.3389/fneur.2022.947976947976Nomogram for predicting traumatic subdural effusion after mild traumatic brain injuryLichao Wei0Bowen Chang1Zhi Geng2Ming Chen3Yongsheng Cao4Liang Yao5Chao Ma6Department of Neurosurgery, The Third People's Hospital of Hefei, Anhui Medical University Hefei Third Clinical College, Hefei, ChinaDepartment of Neurology, The School of Mental Health and Psychological Sciences, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, ChinaDivision of Life Sciences and Medicine, Department of Neurosurgery, The First Affiliated Hospital of USTC, University of Science and Technology of China Hefei, Hefei, ChinaDepartment of Neurosurgery, School of Medicine, XinHua Hospital, Shanghai Jiaotong University, Shanghai, ChinaDepartment of Neurosurgery, The Third People's Hospital of Hefei, Anhui Medical University Hefei Third Clinical College, Hefei, ChinaDepartment of Neurosurgery, The Third People's Hospital of Hefei, Anhui Medical University Hefei Third Clinical College, Hefei, ChinaDepartment of Neurosurgery, The Third People's Hospital of Hefei, Anhui Medical University Hefei Third Clinical College, Hefei, ChinaObjectiveTraumatic subdural effusion (TSE) is a common complication of traumatic brain injury (TBI). This study aimed to determine the risk factors associated with subdural effusion and to propose a nomogram to predict the risk of TSE in patients with mild TBI.MethodsWe retrospectively analyzed 120 patients with mild TBI between January 2015 and December 2020 at the Third People's Hospital of Hefei. The risk factors of TSE were selected using univariate and multivariable logistic regression analysis. A nomogram was developed to predict the incidence of TSE. Receiver operating characteristics and calibration plots were used to evaluate the discrimination and fitting performance.ResultsOf the 120 patients, 32 developed subdural effusion after mild TBI. Univariate analysis showed that gender, age, history of hypertension, traumatic subarachnoid hemorrhage, subdural hematoma, basilar skull fracture, and cerebral contusion were varied significantly between groups (p < 0.05). Logistic multivariate regression analysis showed that the gender, age, history of hypertension, and basilar skull fracture were independent risk factors for TSE. Based on these results, a nomogram model was developed. The C-index of the nomogram was 0.78 (95% CI: 0.70–0.87). The nomogram had an area under the receiver operating characteristic curve of 0.78 (95% CI: 0.70–0.87). The calibration plot demonstrated the goodness of fit between the nomogram predictions and actual observations.ConclusionGender, age, history of hypertension, and basilar skull fracture can be used in a nomogram to predict subdural effusion after mild TBI.https://www.frontiersin.org/articles/10.3389/fneur.2022.947976/fullnomogramprediction modelrisk factorstraumatic subdural effusionmild traumatic brain injury |
| spellingShingle | Lichao Wei Bowen Chang Zhi Geng Ming Chen Yongsheng Cao Liang Yao Chao Ma Nomogram for predicting traumatic subdural effusion after mild traumatic brain injury Frontiers in Neurology nomogram prediction model risk factors traumatic subdural effusion mild traumatic brain injury |
| title | Nomogram for predicting traumatic subdural effusion after mild traumatic brain injury |
| title_full | Nomogram for predicting traumatic subdural effusion after mild traumatic brain injury |
| title_fullStr | Nomogram for predicting traumatic subdural effusion after mild traumatic brain injury |
| title_full_unstemmed | Nomogram for predicting traumatic subdural effusion after mild traumatic brain injury |
| title_short | Nomogram for predicting traumatic subdural effusion after mild traumatic brain injury |
| title_sort | nomogram for predicting traumatic subdural effusion after mild traumatic brain injury |
| topic | nomogram prediction model risk factors traumatic subdural effusion mild traumatic brain injury |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.947976/full |
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