CORRELATION OF RADIOLOGICAL FINDINGS WITH SHORT-TERM CLINICAL OUTCOME IN PATIENTS OF TRAUMATIC BRAIN INJURY AT A PUBLIC HOSPITAL IN NORTH INDIA.

Abstract

BACKGROUND: Traumatic brain injury is dened as an aggression to the brain caused by an external physical force producing a state of diminished or altered consciousness leading to decreased cognitive abilities and physical functioning. The Glasgow Outcome Scale (GOS) is a general measure widely used in TBI management and surgery outcome studies. The Rotterdam Computed Tomography (CT) score of traumatic brain injury is a relatively recently described classication aimed at improving prognostic evaluation of patients admitted with acute traumatic brain injuries. OBJECTIVE: Aim of our study is to correlate the severity of traumatic brain injury using CT Rotterdam criterion with clinical outcome at 3 months using Glasgow Outcome Scale (GOS). MATERIAL AND METHODS: This was a hospital based observational study conducted in Department of radiology from May 2020 to February 2021. All patients with history of traumatic brain injury who underwent NCCT in department were contacted telephonically 3 months after the date of CT scan and a verbal questionnaire in vernacular language was asked telephonically to calculate the nature of their disability after the inciting event of trauma. The CT severity score was then correlated with GOS at 3 months. RESULTS: GOS and CT Rotterdam score are negatively related to each other with a value of -0.284 but are signicantly associated to each other with p value of 0.009 thereby indicating that the patients with a higher modied Rotterdam score demonstrated poorer recovery 3 months after the traumatic insult in form of lower Glasgow outcome score. CONCLUSION: Use of CT based Rotterdam criteria in routine reporting is critical in the initial evaluation and can also predict the prognosis of patients with TBI.