title: The Rotterdam Scoring System Can Be Used as an Independent Factor for Predicting Traumatic Brain Injury Outcomes.
abstract: OBJECTIVE
  Predicting outcomes in patients with traumatic brain injury is critically important for making sound clinical decisions. This study aimed at determining the prognostic value of the Rotterdam scoring system to predict early death among these patients.
  
  
  METHODS
  This study was performed prospectively on 150 patients with traumatic brain injury hospitalized in Shahid Beheshti Hospital, Kashan, Iran. Patients' demographic and clinical characteristics such as age, sex, mechanism of trauma, initial Glasgow Coma Scale score, and accompanying lesions were documented. A brain computed tomography was performed for each patient and scored by use of the Rotterdam system. Patients were monitored for 2 weeks after hospital discharge, and their outcomes were documented. Univariate and multiple logistic regression analysis and prognostic values of Rotterdam system were conducted by SPSS software.
  
  
  RESULTS
  Nineteen patients (12.7%) died during the course of the study. The mean age of the dead patients was significantly greater than those who survived (P = 0.037). The sensitivity and the specificity of the Rotterdam scoring system at the cutoff score of 4 were 84.2% and 96.2%, respectively. Rotterdam score was significantly correlated with patient outcomes (P < 0.0001). Moreover, logistic regression analyses revealed that factors such as age, sex, Glasgow Coma Scale score, and Rotterdam score significantly contributed to patient outcomes.
  
  
  CONCLUSIONS
  Rotterdam score is an independent factor for predicting outcomes among patients with traumatic brain injury. At the cutoff score of 4, the Rotterdam system can predict outcomes among patients suffering from traumatic brain injury with acceptable sensitivity and specificity.
authors.affiliation: Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Hamid Reza
authors.initials: HR
authors.lastname: Talari
authors.affiliation: Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Esmaeil
authors.initials: E
authors.lastname: Fakharian
authors.affiliation: Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Nooshin
authors.initials: N
authors.lastname: Mousavi
authors.affiliation: Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran. Electronic address: abedzadeh@kaums.ac.ir.
authors.forename: Masoumeh
authors.initials: M
authors.lastname: Abedzadeh-Kalahroudi
authors.affiliation: Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Hossein
authors.initials: H
authors.lastname: Akbari
authors.affiliation: Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Sommayeh
authors.initials: S
authors.lastname: Zoghi
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001930:Brain Injuries / Q000175:diagnosis* / Q000401:mortality; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011379:Prognosis; D011446:Prospective Studies; D015203:Reproducibility of Results; D012737:Sex Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
keywords: Computed tomography; Head trauma; Rotterdam scoring system