Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury

© 2018 Yuksen et al. Background: Mild traumatic brain injury (TBI) is a common condition at the Emergency Medicine Department. Head computer tomography (CT) scans in mild TBI patients must be properly justified in order to avoid unnecessary exposure to X-rays and to reduce the hospital/transfer cost...

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Main Authors: Chaiyaporn Yuksen, Yuwares Sittichanbuncha, Jayanton Patumanond, Sombat Muengtaweepongsa, Kittisak Sawanyawisuth
Other Authors: Faculty of Medicine, Khon Kaen University
Format: Article
Published: 2019
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/45439
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spelling th-mahidol.454392019-08-28T14:06:28Z Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury Chaiyaporn Yuksen Yuwares Sittichanbuncha Jayanton Patumanond Sombat Muengtaweepongsa Kittisak Sawanyawisuth Faculty of Medicine, Khon Kaen University Khon Kaen University Faculty of Medicine, Ramathibodi Hospital, Mahidol University Faculty of Medicine, Thammasat University Chemical Engineering Medicine Pharmacology, Toxicology and Pharmaceutics Social Sciences © 2018 Yuksen et al. Background: Mild traumatic brain injury (TBI) is a common condition at the Emergency Medicine Department. Head computer tomography (CT) scans in mild TBI patients must be properly justified in order to avoid unnecessary exposure to X-rays and to reduce the hospital/transfer costs. This study aimed to evaluate which clinical factors are associated with intracranial hemorrhage in Asian population and to develop a user-friendly predictive model. Methods: The study was conducted retrospectively at the Emergency Medicine Department in Ramathibodi Hospital, a university-affiliated super tertiary care hospital in Bangkok, Thailand. The study period was between September 2013 and August 2016. The inclusion criteria were age >15 years and having received a head CT scan after presenting with mild TBI. Those patients with mild TBI and no symptoms/deterioration after 24 h of clinical observation were excluded. The predictive model and prediction score for intracranial hemorrhage was developed by multivariate logistic regression analysis. Results: During the study period, there were 708 patients who met the study criteria. Of those, 100 patients (14.12%) had positive head CT scan results. There were seven independent factors that were predictive of intracranial hemorrhage. The clinical risk scores to predict intracranial hemorrhage are developed with an accuracy of 92%. The score of >3 had the likelihood of intracranial hemorrhage by 1.47 times. Conclusion: Clinical predictive score of >3 was associated with intracranial hemorrhage in mild TBI. 2019-08-23T10:46:11Z 2019-08-23T10:46:11Z 2018-02-01 Article Therapeutics and Clinical Risk Management. Vol.14, (2018), 213-218 10.2147/TCRM.S147079 1178203X 11766336 2-s2.0-85041999210 https://repository.li.mahidol.ac.th/handle/123456789/45439 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85041999210&origin=inward
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Chemical Engineering
Medicine
Pharmacology, Toxicology and Pharmaceutics
Social Sciences
spellingShingle Chemical Engineering
Medicine
Pharmacology, Toxicology and Pharmaceutics
Social Sciences
Chaiyaporn Yuksen
Yuwares Sittichanbuncha
Jayanton Patumanond
Sombat Muengtaweepongsa
Kittisak Sawanyawisuth
Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury
description © 2018 Yuksen et al. Background: Mild traumatic brain injury (TBI) is a common condition at the Emergency Medicine Department. Head computer tomography (CT) scans in mild TBI patients must be properly justified in order to avoid unnecessary exposure to X-rays and to reduce the hospital/transfer costs. This study aimed to evaluate which clinical factors are associated with intracranial hemorrhage in Asian population and to develop a user-friendly predictive model. Methods: The study was conducted retrospectively at the Emergency Medicine Department in Ramathibodi Hospital, a university-affiliated super tertiary care hospital in Bangkok, Thailand. The study period was between September 2013 and August 2016. The inclusion criteria were age >15 years and having received a head CT scan after presenting with mild TBI. Those patients with mild TBI and no symptoms/deterioration after 24 h of clinical observation were excluded. The predictive model and prediction score for intracranial hemorrhage was developed by multivariate logistic regression analysis. Results: During the study period, there were 708 patients who met the study criteria. Of those, 100 patients (14.12%) had positive head CT scan results. There were seven independent factors that were predictive of intracranial hemorrhage. The clinical risk scores to predict intracranial hemorrhage are developed with an accuracy of 92%. The score of >3 had the likelihood of intracranial hemorrhage by 1.47 times. Conclusion: Clinical predictive score of >3 was associated with intracranial hemorrhage in mild TBI.
author2 Faculty of Medicine, Khon Kaen University
author_facet Faculty of Medicine, Khon Kaen University
Chaiyaporn Yuksen
Yuwares Sittichanbuncha
Jayanton Patumanond
Sombat Muengtaweepongsa
Kittisak Sawanyawisuth
format Article
author Chaiyaporn Yuksen
Yuwares Sittichanbuncha
Jayanton Patumanond
Sombat Muengtaweepongsa
Kittisak Sawanyawisuth
author_sort Chaiyaporn Yuksen
title Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury
title_short Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury
title_full Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury
title_fullStr Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury
title_full_unstemmed Clinical predictive score of intracranial hemorrhage in mild traumatic brain injury
title_sort clinical predictive score of intracranial hemorrhage in mild traumatic brain injury
publishDate 2019
url https://repository.li.mahidol.ac.th/handle/123456789/45439
_version_ 1763487693650526208