The role of acute traumatic focal lesion on head CT scan in predicting outcome of mild traumatic brain injury patients

Nyoman Golden,Tjokorda Gde Bagus Mahadewa,Sri Maliawan,Putu Eka Mardhika,I Wayan Niryana

doi:10.15562/ijn.v4i2.150

Abstract

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Highlights

Traumatic brain injury (TBI) is a major cause of death and disability in adults under 45 years old.[1]
Patients who admitted with Glasgow Coma Scale (GCS) score of 15 may have traumatic intracranial lesions that develop into a coma or even death
We found that GCS did not have an important role in determining the need for surgery and patient outcomes in Mild Traumatic Brain Injury (mTBI)

Summary

Introduction

Traumatic brain injury (TBI) is a major cause of death and disability in adults under 45 years old.[1]. There is a controversy regarding the examination of head CT scan in Mild Traumatic Brain Injury (mTBI) patients with a GCS score of 15. We proposed that the presence of intracranial lesion in head CT scan is more important in predicting outcome of mTBI patients regardless of GCS score. Results: The presence of focal lesions on head CT scan had an adjusted RR of 3.75 in determining surgery after controlling the role of GCS (< 0.001). The presence of focal lesions on head CT scan had an adjusted RR of 13.9 in predicting poor outcome after controlling the role of GCS (p < 0.012). Conclusions: The presence of acute focal lesions on head CT scan has been shown to be a significant factor affecting the outcome and the need for surgery in mTBI patients. GCS is not proven to be a factor affecting the outcome and the need for surgery in mTBI patients

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