OBSERVATIONAL COMPARATIVE STUDY BETWEEN MARSHALL AND ROTTERDAM CT SCORES IN PREDICTING EARLY DEATHSIN PATIENTS WITH TRAUMATIC BRAIN INJURY (TBI)

Abstract

Introduction: Traumatic brain injury (TBI) is a severe condition causing impairment of physical, cognitive, and psychological functions. CT is preferred for primary investigation due to availability, affordability, and shorter scan time. MRI is superior for detecting brain fractures and hemorrhage, while computed tomography assesses post-traumatic lesions. Aims: The study compares Marshall and Rotterdam CT scoring systems for predicting early deaths in traumatic brain injury patients, examining their clinical profile, predictive value, and mortality rates. Methodology: A retrospective comparative study comparing Marshall CT scoring classification and Rotterdam CT score systems on 100 traumatic brain injury patients from May 2019 to April 2021, analyzing results and comparing them with mortality data. Results: A study of 100 severe head injuries revealed various pathologies, with mortality rates calculated using NCCT brain study and Marshall CT scoring classification, with an AUC of 0.67. Discussion: The study compared Marshall and Rotterdam CT scoring systems for predicting early mortality in traumatic brain injuries, finding the Marshall system had a higher mortality rate. Conclusion: NCCT brain studies aid in diagnosing traumatic brain injuries and predicting early mortality, with common pathologies being intraventricular hemorrhage and subarachnoid hemorrhage, with Rotterdam CT scoring system superior.