Open AccessComputed Tomography–Estimated Specific Gravity at Hospital Admission Predicts 6-Month Outcome in Mild-to-Moderate Traumatic Brain Injury Patients Admitted to the Intensive Care Unit
Author(s) -
Vincent Degos,
Thomas Lescot,
Christian Icke,
Yannick Le Manach,
Katherine E. Fero,
Paola Sánchez,
Bassem Hadiji,
Abederrezak Zouaoui,
AnneLaure Boch,
Lamine Abdennour,
Christian C. Apfel,
Louis Puybasset
Publication year - 2012
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0b013e318249fe7a
Subject(s) - medicine , confidence interval , intensive care unit , traumatic brain injury , receiver operating characteristic , glasgow coma scale , mechanical ventilation , glasgow outcome scale , intensive care , univariate analysis , multivariate analysis , injury severity score , emergency medicine , surgery , intensive care medicine , poison control , injury prevention , psychiatry
It is clear that patients with a severe traumatic brain injury (TBI) develop secondary, potentially lethal neurological deterioration. However, it is difficult to predict which patients with mild-to-moderate TBI (MM-TBI), even after intensive care unit (ICU) admission, will experience poor outcome at 6 months. Standard computed tomography (CT) imaging scans provide information that can be used to estimate specific gravity (eSG). We have previously demonstrated that higher eSG measurements in the standard CT reading were associated with poor outcomes after severe TBI. The aim of this study was to determine whether eSG of the intracranial content predicts 6-month outcome in MM-TBI.