CORRELATION OF GCS AND CT-SCAN SCORE IN PREDICTING THE MORTALITY AND ICU STAY IN MODERATE TO SEVERE TBI ADULT VICTIMS IN ED

Abstract

Background: Traumatic brain injury is burning health issue in patients with trauma. RTAs (59%), Fall down (25%) and Violence (10%) are major aetiology of head injury ^1,4. In 2011, 4.97 lakhs RTA out of that around 1.42 lakhs deaths. On an average RTA every 1 min and death every 3.5 minutes. Economical loss of 3.7% in national GDP ³. At the global level, annual incidence and mortality from TBIs is 200 and 20 per 1 lakh per year, respectively ¹. GC Scale and Rotterdam CT scan score can predict in-hospital mortality in TBI victims. Materials and method: The observational, descriptive study was conducted on 50 adult (age≥18 years) TBI patients with GCS <13 presented in ED. Non-ionic contrast CT (NCCT) scan brain as a part of radiological investigation in trauma patients after resuscitation and Rotterdam scoring applied. Data was collected from iHis and analysed in Stata 13.0 and Epi (version 7.3.2.1) CDC software. P <0.05 was considered statistically significant. Results: The mean Rotterdam CT score and GCS was 3 and 10 respectively for ICU stay, mean age was 39.24±18.33, sex ratio 3.9:1, RTAs was the most common mode of injury in 70% TBIs victims, mortality 24% and mean ICU stay 8.64±14.81 days. Mean GCS of 8.25±2.60 and 10.95±1.71 for the un-favourable and favourable outcomes respectively. Mean Rotterdam CT score was 4±1.52 for predicting mortality and outcome.