Identification of clinical and radiological predictors of outcome in head trauma patients in the emergency department

ABSTRACT

The purpose of this investigation was to identify the clinical and radiological predictors of outcome including (age, GCS, RTS, GAP, CT finding, systemic injuries, mode of trauma and pupil reactivity) in patients with isolated head trauma presented to the Emergency Department at Alexandria Main University Hospital. Mortality rate is higher in older age group above of 60 (83%) it was highly significant (<0.001*). In patients having only tSAH (34% of total), 75 patients (62.5%) had poor outcome. patients had a GCS score 8 or less (72.72%) had GOS V score. Mortality rate is higher in patients with both dilated pupils (70%). There is a highly significant relation between hypotension and the outcome (p=<0.001*), 20%of patients were hypotensive when they presented in casualty, (78.5%) of them had poor prognosis. 81.25% of patients who had hypoxia at the time of presentation had unfavorable outcome. GAP and RTS score were high significantly associated with adverse outcome both of them with p value (<0.001*).

Keywords: Traumatic brain injury, outcome, prediction.

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