Sequential changes in Rotterdam Scoring System in patients submitted to acute subdural hematoma evacuation

Abstract

Abstract Background: Rotterdam Scoring System (RSS) is a head computed tomography (CT) -based system for evaluating Traumatic brain injury (TBI). This system provides a better estimation of disease prognosis. Our objective was to study the sequential changes in RSS following the evacuation of acute subdural hematoma (ASDH) and evaluate if these changes were associated with 14-day mortality and in-hospital mortality. Methods: This is a retrospective study from a prospective database registry of TBI patients. Results: Pre-and Post-op RSS represented a higher association with 14-day mortality (p=0.01 and p=0.004, respectively)) and in-hospital mortality (p=0.01 and p=0.001, respectively). Pupils and post-op RSS were the independent predictors for in-hospital mortality (OR=1.99, 95%CI 1.14-3.48, p=0.015). Conclusion: The postoperative RSS is a promising tool for evaluating prognosis in patients submitted to the evacuation of ASDH.