The Prognostic Value Of Helsinki Computerized Tomography Scoring System In Patients With Traumatic Brain Injury

Objective: The clinical utility and prognostic value of Helsinki computerized tomography scoring system for patients with traumatic brain injury were evaluated.Methods:Clinical data of TBI patients admitted from September,2006 to October,2018 were analyzed retrospectively.Among them,91 were male and 33 were female.Inter quartile range was 49.The Glasgow coma scale(GCS)was 3-8 points in 45 cases and 9-12 points in 42,13-15 points in 37 cases.Patients were divided into two groups according to the 6-month Glasgow outcome scale(GOS),the poor prognosis group(gos1-3)and the good prognosis group(gos4-5).Univariate and multivariate logistic were used for data analysis to describe the relationship between Helsinki CT score and prognosis of TBI patients.Results: 124 patients included 33 women and 91 men.The 6-month mortality and poor prognosis were 7% and 15%,respectively.There were statistically significant differences in age,GCS motor score,Pupillary reactivity and GCS score between the poor prognosis group and the good prognosis group(P<0.05),but no statistically significant differences in gender between the two groups(P>0.05).CT features of the two groups of patients within 24 hours after admission showed that the mass lesion size and intraventricular hemorrhage were strongly correlated with the degree of supramellae cistern compression and poor prognosis of the two groups(P<0.001).Multivariate logistic regression analysis showed that ventricular hemorrhage,supracellar cistern compression and supracellar cistern disappearance were correlated with 6-month mortality and poor prognosis(P<0.05).Univariate logistic regression analysis indicated that Helsinki CT score was an important long-term prognostic index(P<0.05).Multivariate logistic regression analysis indicated that Helsinki CT score was an independent indicator of mortality(OR1.212 95% CI1.011-1.367 P=0.006)and poor prognosis(OR 1.142 95% CI1.041-1.243P=0.013).Multivariate logistic regression analysis suggested that the Helsinki CT score was an independent indicator of mortality(OR 1.212 95% ci1.011-1.367 P=0.006)and poorprognosis(OR 1.142 95% ci1.041-1.243 P=0.013).The Helsinki CT score was more predictive of long-term mortality than of poor prognosis(AUC: 0.813 vs 0.762).Conclusions: Helsinki computerized tomography scoring system can independently predict long-term poor prognosis and mortality of TBI patients,and its clinical practicality is good and worthy of promotion.