Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries
Purpose: Despite advances in modern medicine, traumatic brain injuries (TBIs) are still a major medical problem. Early diagnosis of TBI is crucial for clinical decision-making and prognosis. This study aims to compare the predictive value of Helsinki, Rotterdam, and Stockholm CT scores in predicting...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Chinese Journal of Traumatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1008127523000263 |
| _version_ | 1797401765907267584 |
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| author | Nushin Moussavi Biuki Hamid Reza Talari Mohammad Hossein Tabatabaei Masoumeh Abedzadeh-Kalahroudi Hossein Akbari Mahsa Masjedi Esfahani Reihaneh Faghihi |
| author_facet | Nushin Moussavi Biuki Hamid Reza Talari Mohammad Hossein Tabatabaei Masoumeh Abedzadeh-Kalahroudi Hossein Akbari Mahsa Masjedi Esfahani Reihaneh Faghihi |
| author_sort | Nushin Moussavi Biuki |
| collection | DOAJ |
| description | Purpose: Despite advances in modern medicine, traumatic brain injuries (TBIs) are still a major medical problem. Early diagnosis of TBI is crucial for clinical decision-making and prognosis. This study aims to compare the predictive value of Helsinki, Rotterdam, and Stockholm CT scores in predicting the 6-month outcomes in blunt TBI patients. Methods: This cohort study was conducted on blunt TBI patients of 15 years or older. All of them were admitted to the surgical emergency department of Shahid Beheshti Hospital in Kashan, Iran from 2020 to 2021 and had abnormal trauma-related findings on brain CT images. The patients’ demographic data such as age, gender, history of comorbid conditions, mechanism of trauma, Glasgow coma scale, CT images, length of hospital stay, and surgical procedures were recorded. The Helsinki, Rotterdam, and Stockholm CT scores were simultaneously determined according to the existing guidelines. The included patients' 6-month outcome was determined using the Glasgow outcome scale extended. M Data were analyzed by SPSS software version 16.0. Sensitivity, specificity, negative/positive predictive value and the area under the receiver operating characteristic curve were calculated for each test. The Kappa agreement coefficient and Kuder Richardson-20 were used to compare the scoring systems. Results: Altogether 171 TBI patients met the inclusion and exclusion criteria, with the mean age of (44.9 ± 20.2) years. Most patients were male (80.7%), had traffic related injuries (83.1%) and mild TBIs (64.3%). Patients with lower Glasgow coma scale had higher Helsinki, Rotterdam, and Stockholm CT scores and lower Glasgow outcome scale extended scores. Among all the scoring systems, the Helsinki and Stockholm scores showed the highest agreement in predicting patients’ outcomes (kappa = 0.657, p < 0.001). The Rotterdam scoring system had the highest sensitivity (90.1%) in predicting death of TBI patients, whereas the Helsinki scoring system had the highest sensitivity (89.8%) in predicting the 6-month outcome in TBI patients. Conclusion: The Rotterdam scoring system was superior in predicting death in TBI patients, whereas the Helsinki scoring system was more sensitive in predicting the 6-month outcome. |
| first_indexed | 2024-03-09T02:15:59Z |
| format | Article |
| id | doaj.art-92025ceed2dd4412959e403b49dbb476 |
| institution | Directory Open Access Journal |
| issn | 1008-1275 |
| language | English |
| last_indexed | 2024-03-09T02:15:59Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Chinese Journal of Traumatology |
| spelling | doaj.art-92025ceed2dd4412959e403b49dbb4762023-12-07T05:27:45ZengElsevierChinese Journal of Traumatology1008-12752023-11-01266357362Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuriesNushin Moussavi Biuki0Hamid Reza Talari1Mohammad Hossein Tabatabaei2Masoumeh Abedzadeh-Kalahroudi3Hossein Akbari4Mahsa Masjedi Esfahani5Reihaneh Faghihi6Department of Surgery, Trauma Research Center, Kashan University of Medical Sciences, Kashan, IranDepartment of Radiology, Kashan University of Medical Sciences, Kashan, IranDepartment of Radiology, Kashan University of Medical Sciences, Kashan, IranTrauma Research Center, Kashan University of Medical Sciences, Kashan, Iran; Corresponding author.Department of Biostatistics, Trauma Research Center, Kashan University of Medical Sciences, Kashan, IranDepartment of Radiology, Kashan University of Medical Sciences, Kashan, IranDepartment of Radiology, Kashan University of Medical Sciences, Kashan, IranPurpose: Despite advances in modern medicine, traumatic brain injuries (TBIs) are still a major medical problem. Early diagnosis of TBI is crucial for clinical decision-making and prognosis. This study aims to compare the predictive value of Helsinki, Rotterdam, and Stockholm CT scores in predicting the 6-month outcomes in blunt TBI patients. Methods: This cohort study was conducted on blunt TBI patients of 15 years or older. All of them were admitted to the surgical emergency department of Shahid Beheshti Hospital in Kashan, Iran from 2020 to 2021 and had abnormal trauma-related findings on brain CT images. The patients’ demographic data such as age, gender, history of comorbid conditions, mechanism of trauma, Glasgow coma scale, CT images, length of hospital stay, and surgical procedures were recorded. The Helsinki, Rotterdam, and Stockholm CT scores were simultaneously determined according to the existing guidelines. The included patients' 6-month outcome was determined using the Glasgow outcome scale extended. M Data were analyzed by SPSS software version 16.0. Sensitivity, specificity, negative/positive predictive value and the area under the receiver operating characteristic curve were calculated for each test. The Kappa agreement coefficient and Kuder Richardson-20 were used to compare the scoring systems. Results: Altogether 171 TBI patients met the inclusion and exclusion criteria, with the mean age of (44.9 ± 20.2) years. Most patients were male (80.7%), had traffic related injuries (83.1%) and mild TBIs (64.3%). Patients with lower Glasgow coma scale had higher Helsinki, Rotterdam, and Stockholm CT scores and lower Glasgow outcome scale extended scores. Among all the scoring systems, the Helsinki and Stockholm scores showed the highest agreement in predicting patients’ outcomes (kappa = 0.657, p < 0.001). The Rotterdam scoring system had the highest sensitivity (90.1%) in predicting death of TBI patients, whereas the Helsinki scoring system had the highest sensitivity (89.8%) in predicting the 6-month outcome in TBI patients. Conclusion: The Rotterdam scoring system was superior in predicting death in TBI patients, whereas the Helsinki scoring system was more sensitive in predicting the 6-month outcome.http://www.sciencedirect.com/science/article/pii/S1008127523000263Brain injuries, traumaticTraumaticRotterdam CT scoring systemHelsinki CT scoring systemStockholm CT scoring systemCT scan |
| spellingShingle | Nushin Moussavi Biuki Hamid Reza Talari Mohammad Hossein Tabatabaei Masoumeh Abedzadeh-Kalahroudi Hossein Akbari Mahsa Masjedi Esfahani Reihaneh Faghihi Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries Chinese Journal of Traumatology Brain injuries, traumatic Traumatic Rotterdam CT scoring system Helsinki CT scoring system Stockholm CT scoring system CT scan |
| title | Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries |
| title_full | Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries |
| title_fullStr | Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries |
| title_full_unstemmed | Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries |
| title_short | Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries |
| title_sort | comparison of the predictive value of the helsinki rotterdam and stockholm ct scores in predicting 6 month outcomes in patients with blunt traumatic brain injuries |
| topic | Brain injuries, traumatic Traumatic Rotterdam CT scoring system Helsinki CT scoring system Stockholm CT scoring system CT scan |
| url | http://www.sciencedirect.com/science/article/pii/S1008127523000263 |
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