TY  - JOUR
PY  - 2018//
TI  - Feasibility of online traumatic brain injury prognostic CRASH as a predictor of mortality
JO  - World neurosurgery
A1  - Faried, Ahmad
A1  - Satriawan, Ferry C.
A1  - Arifin, Muhammad Z.
SP  - e239
EP  - e245
VL  - 116
IS  - 
N2  - 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. <br><br>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. <br><br>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. <br><br>CONCLUSION: Online CRASH is a good prognostic model that is feasible to be used for TBI patients in many of developing countries.<br><br>Copyright © 2018. Published by Elsevier Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 1878-8750
UR  - http://dx.doi.org/10.1016/j.wneu.2018.04.180
ID  - ref1
ER  -