Effects of Computerized tomography scan features on outcome of traumatic brain injuries

Abstract

Background: Computerized tomography (CT) scan is the image modality of choice in acute traumatic brain injuries. It helps in identifying urgent surgical emergency lesions. We assessed the effect of computerized Tomography scan features on the functional outcome of traumatic brain injury patients managed in our center. The objective was to determine CT scan features that could predict outcome in traumatic brain injury patients.

Methods: It was a prospective observational study carried out on our patients with traumatic brain injuries who did CT scan of the brain. Data were collected using structured proforma which was component of our prospective data bank that was approved by our ethics and research committee. The data were analyzed with Environmental Performance Index (EPI) info 7 software.

Results: There were 173 patients whose CT scans were studied. One hundred and thirty five were males. The mean age was 30.61years. One hundred and thirty patients were involved in road traffic accident. Status of mesencephalic cistern, intra-ventricular hemorrhage, midline shift, and diffuse axonal injuries were significant predictors of functional outcome.

Conclusion: Some CT scan features such as the status of mesencephalic cistern, midline shift, diffuse axonal injury, predicted outcome in our patients.

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