Citation

Faried A, Satriawan FC, Arifin MZ. World Neurosurg. 2018; 116: e239-e245.

Affiliation

Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, West Java, Indonesia.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.wneu.2018.04.180

PMID

29730104

Abstract

INTRODUCTION: Traumatic brain injury (TBI) is a major cause of mortality in many countries. According to the World Health Organization, traffic crashes have become a leading cause of death, with as many as 1.25 million deaths worldwide in 2013. Further, a 2013 global road safety report listed 68 low-to-middle income countries that had an increased mortality rate due to traffic accidents. The aim of this study is to analyze the feasibility of an online prognostic model from the Medical Research Council (MRC) Corticosteroids Randomization after Significant Head Injury (CRASH) trial collaborators to be used in our center.

METHODS: This is a cross-sectional retrospective study of 229 TBI patients who were admitted to the Neurosurgery Unit at Dr. Hasan Sadikin Hospital, Bandung, from July to December 2016.

RESULTS: As many as 495 TBI patients were admitted during that period; 229 patients were included in this study. Several variables were analyzed using independent statistical methods before being included in the online CRASH calculator. Those variables are GCS (P = 0.000), pupillary reaction to light (P = 0.000), major extracranial injury (P = 0.002), and interval following incidence (P = 0.000). Statistical analysis showed that the online CRASH prognostic model reliably predicted the 14-day mortality rate (P = 0.000) with 91.6% sensitivity and 95.1% specificity.

CONCLUSION: Online CRASH is a good prognostic model that is feasible to be used for TBI patients in many of developing countries.

Copyright © 2018. Published by Elsevier Inc.

Language: en

Keywords

Online CRASH calculator; Prognostic model; Traumatic brain injury