md-medicaldata

Authors

 

Igor Horvat^1,2, Jagoš Golubović^1,2, Đula Đilvesi^1,2, Bojan Jelača^1,2, Filip Pajičić^1,2, Nebojša Lasica^1,2, Anja Popović², Petar Vuleković<sup>1,2

1</sup>Clinic of Neurosurgery, Clinical Centre of Vojvodina, Novi Sad, Serbia
²University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia

 

UDK: 616.831-001-073

The paper was received / Rad primljen: 06.03.2020.

Accepted / Rad prihvaćen: 13.03.2020.

 

Correspondence to:

Petar Vuleković, MD, PhD, Prof.
Clinic of Neurosurgery, Clinical Centre of Vojvodina, Novi Sad, Serbia
University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Hajduk Veljkova 1-3, 21000, Novi Sad, Serbia
+381 64 8059602
e-mail: petar.vulekovic@mf.uns.ac.rs

 

 

Sažetak

 

Kompjuterizovana tomografija (CT) predstavlja osnovno sredstvo u dijagnostici i lečenju traumatskog oštećenja mozga (TOM). Maršal CT klasifikacija, Roterdam i Helsinki CT skorovi su kreirani kao skale za predviđanje ishoda na osnovu TOM CT abnormalnosti. Svaka od ovih skala na različit način klasifikuje CT nalaze. Sve tri skale:  Maršal, Roteradam i Helsinki, imaju visoku prediktivnu moć u predviđanju ranog lošeg ishoda kod pacijenata sa TOM, ali inkorporišući dodatne faktore se mogu postići još precizniji rezultati. Roterdam sistem, koji pokazuje visoku prediktivnu moć i uključuje i karakteristike popout subarahnoidalne hemoragije, treba da bude skala izbora jer inkorporira multivarijantne faktore što rezultira u tačnijoj predvidljivosti.

 

 

Ključne reči:

Maršal CT klasifikacija, Roterdam CT skor, Helsinki CT skor,Traumatsko oštećenje mozga

 

 

Abstract

 

Computer tomography (CT) is an essential tool in diagnosing and treating traumatic brain injury (TBI). Marshall CT classification, Rotterdam and Helsinki CT score were consecutively developed as prediction outcome scales by computing TBI CT abnormalities. None of them classifies the pathological CT findings in the same way. We aimed to determine which one is the most accurate and has the best grading discriminatory power in determining the early outcome.All classifications have similarly strong predictive power for early outcome, but even greater discrimination results could be obtained if additional findings were incorporated in the calculation. Rotterdam system, having the high predictability and also including characteristic like subarachnoid hemorrhage, should be scale of choice as it incorporates multivariate factors into the equation that result in more accurate predictability.

 

 

Key words:

Marshall CT classification, Rotterdam CT score, Helsinki CT score, Traumatic brain injury

 

 

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PDF Horvat I. et al. • MD-Medical Data 2020;12(1): 025-027