@article{ref1,
title="Rotterdam and Marshall scores for prediction of in-hospital mortality in patients with traumatic brain injury: an observational study",
journal="Brain injury",
year="2021",
author="Asim, Mohammad and El-Menyar, Ayman and Parchani, Ashok and Nabir, Syed and Ahmed, Mohamed Nadeem and Ahmed, Zahoor and Ramzee, Ahmed Faidh and Al-Thani, Abdulaziz and Al-Abdulmalek, Abdulrahman and Al-Thani, Hassan",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: We aimed to assess the prognostic value of Rotterdam and Marshall scoring systems to predict in-hospital mortality in patients with traumatic brain injury (TBI).<br><br>METHODS: A retrospective analysis was conducted for patients with TBI who underwent head computerized tomography (CT) scan at a Level I trauma center between 2011 and 2018. Receiver operating characteristic (ROC) curves were used to determine the cutoff values for predicting in-hospital mortality.<br><br>RESULTS: A total of 1035 patients with TBI were included with a mean age of 30 years. The mean Rotterdam and Marshall scores were higher among non-survivors (p = .001). Patients with higher Rotterdam (>3) or Marshall (>2) CT scores were older, had higher injury severity scores and in-hospital mortality and had lower GCS and blood ethanol levels than those with lower scores. The cutoff point of Rotterdam score was 3.5 (sensitivity, 61.2%; specificity, 85.6%) and Marshall score was 2.5 (74.3% sensitivity and 76.3% specificity). Multivariable logistic regression analyses showed that Marshall and Rotterdam scoring systems were independent predictors of mortality (odds ratio 8.4; 95% confidence interval 4.95-14.17 and odds ratio 4.4; 95% confidence interval 2.36-9.39, respectively).<br><br>CONCLUSION: Rotterdam and Marshall CT scores have independent prognostic values in patients with TBI even in alcoholic patients.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2021.1927181",
url="http://dx.doi.org/10.1080/02699052.2021.1927181"
}