Traumatic Brain Injury: Comparison of Computed Tomography Findings in Pediatric and Adult Populations
Introduction Traumatic brain injury (TBI) is a global health issue, accounting for a significant number of adult and pediatric deaths and morbidity. Computed tomography (CT) is an important diagnostic modality for TBI. The primary goal of this study was to determine if there were any significant rad...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2020-04-01
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| Series: | Indian Journal of Neurosurgery |
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| author | Madhur Choudhary Khursheed Alam Khan Nandkishore Gora Achal Sharma Virendra Deo Sinha |
| author_facet | Madhur Choudhary Khursheed Alam Khan Nandkishore Gora Achal Sharma Virendra Deo Sinha |
| author_sort | Madhur Choudhary |
| collection | DOAJ |
| description | Introduction Traumatic brain injury (TBI) is a global health issue, accounting for a significant number of adult and pediatric deaths and morbidity. Computed tomography (CT) is an important diagnostic modality for TBI. The primary goal of this study was to determine if there were any significant radiological differences in CT brain findings between adult and pediatric populations.
Materials and Methods Data of individual patients were collected from admission to discharge/death, which included various parameters in terms of demographics, mechanism of injury, and patient outcome which were later analyzed. A total of 1,150 TBI patients were enrolled in the study.
Results The most common mode of injury in adults is road traffic accident (RTA) followed by fall from height (FFH), while in pediatrics it is vice versa. Findings of basal cisterns on CT brain were found to be statistically significant in both groups; 65% adults and 71% pediatrics had only one abnormal CT finding. Most common combination CT finding in adults was acute subdural hematoma (ASDH) and basal cistern abnormality, while in pediatrics it was traumatic subarachnoid hemorrhage (SAH) and contusion. Rotterdam score (based on CT brain findings) was significantly lower for pediatric age group compared with adults. It was 2.2 ± 0.85 for adults and 1.99 ± 0.74 for pediatrics, which was statistically significant (p < 0.001).
Conclusions The Rotterdam score has immense predictive power for prognostication of mortality status. Pediatric age group has better prognosis in terms of survival as compared with adults, thus justifying the role of Rotterdam CT score for mortality risk stratification in providing clinical care. |
| format | Article |
| id | doaj-art-54301556f5dc4eeea243e12a80f12c22 |
| institution | DOAJ |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2020-04-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-54301556f5dc4eeea243e12a80f12c222025-08-20T03:20:15ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672020-04-0190315115610.1055/s-0040-1708066Traumatic Brain Injury: Comparison of Computed Tomography Findings in Pediatric and Adult PopulationsMadhur Choudhary0Khursheed Alam Khan1Nandkishore Gora2Achal Sharma3Virendra Deo Sinha4Department of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, IndiaIntroduction Traumatic brain injury (TBI) is a global health issue, accounting for a significant number of adult and pediatric deaths and morbidity. Computed tomography (CT) is an important diagnostic modality for TBI. The primary goal of this study was to determine if there were any significant radiological differences in CT brain findings between adult and pediatric populations. Materials and Methods Data of individual patients were collected from admission to discharge/death, which included various parameters in terms of demographics, mechanism of injury, and patient outcome which were later analyzed. A total of 1,150 TBI patients were enrolled in the study. Results The most common mode of injury in adults is road traffic accident (RTA) followed by fall from height (FFH), while in pediatrics it is vice versa. Findings of basal cisterns on CT brain were found to be statistically significant in both groups; 65% adults and 71% pediatrics had only one abnormal CT finding. Most common combination CT finding in adults was acute subdural hematoma (ASDH) and basal cistern abnormality, while in pediatrics it was traumatic subarachnoid hemorrhage (SAH) and contusion. Rotterdam score (based on CT brain findings) was significantly lower for pediatric age group compared with adults. It was 2.2 ± 0.85 for adults and 1.99 ± 0.74 for pediatrics, which was statistically significant (p < 0.001). Conclusions The Rotterdam score has immense predictive power for prognostication of mortality status. Pediatric age group has better prognosis in terms of survival as compared with adults, thus justifying the role of Rotterdam CT score for mortality risk stratification in providing clinical care.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708066traumatic brain injuryrotterdam scorecomputed tomography scan |
| spellingShingle | Madhur Choudhary Khursheed Alam Khan Nandkishore Gora Achal Sharma Virendra Deo Sinha Traumatic Brain Injury: Comparison of Computed Tomography Findings in Pediatric and Adult Populations Indian Journal of Neurosurgery traumatic brain injury rotterdam score computed tomography scan |
| title | Traumatic Brain Injury: Comparison of Computed Tomography Findings in Pediatric and Adult Populations |
| title_full | Traumatic Brain Injury: Comparison of Computed Tomography Findings in Pediatric and Adult Populations |
| title_fullStr | Traumatic Brain Injury: Comparison of Computed Tomography Findings in Pediatric and Adult Populations |
| title_full_unstemmed | Traumatic Brain Injury: Comparison of Computed Tomography Findings in Pediatric and Adult Populations |
| title_short | Traumatic Brain Injury: Comparison of Computed Tomography Findings in Pediatric and Adult Populations |
| title_sort | traumatic brain injury comparison of computed tomography findings in pediatric and adult populations |
| topic | traumatic brain injury rotterdam score computed tomography scan |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708066 |
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