NGHIÊN CỨU GIÁ TRỊ TIÊN LƯỢNG TỬ VONG SỚM CỦA THANG PHÂN LOẠI MARSHALL VÀ ĐIỂM ROTTERDAM Ở BỆNH NHÂN CHẤN THƯƠNG SỌ NÃO NẶNG

Abstract

Objectives: To determine the value of the Marshall classification  and Rotterdam CT scale in mortality predictive in severe traumatic brain injury (TBI) patients. Methods: Retrospective and prospective description of 48 patients with sTBI who were admitted to the surgical ICU - 103 Military Hospital from February, 2021 to June, 2022. The patients were subjected to a CT scan on admission, and the CT damage was assessed according to Marshall classification and Rotterdam scale, assessing early outcomes at hospital discharge. Data according to research medical records, data are coded and processed according to statistical methods. Results: Marshall classification and Rotterdam scale were significantly higher in the mortality group than those in the survival group, with p < 0.005. On the ROC curve, the Marshall classification predicts mortality at a moderate level with an area under the curve (AUC) of 0.745. Using a cutoff of 2.5 predicted mortality with a sensitivity of 87.5% and a specificity of 50%. The Rotterdam scale predicts mortality at a good level with AUC of 0.809, at the cut-off point of 3.5 predicts mortality with a sensitivity of 87.5% and a specificity of 71.9%. Conclusion: Marshall classification, Rotterdam scale were significantly higher in the survival group than those in the death group. Rotterdam scale with AUC of 0.809 has a better predictive value of mortality than the Marshall classification, with an AUC of 0.745.