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Comparison of Rotterdam, Canadian, Marshal, and New Orleans scores on brain CT scans of isolated trauma patients and their relationship with

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Date
2024
Author
Bihamta, Alireza
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Abstract
Considering that the existing scores in NewOrlean, Marshal, Canadian and Rotterdam are not used only to determine the indication of CT scan of the brain in the emergency room and by examining the outcomes of patients with isolated head trauma, the purpose of evaluating these scores is to determine the indication of C. . T-scan of the brain predicts the presence or absence of findings in the CT scan of patients with isolated head trauma. Methods: All patients with isolated head trauma during the 1400s. In 1401, he went to the emergency room of Imam Reza (a.s.) hospital and entered the study. Then, based on ATLS principles, patients were evaluated and they were not deprived of diagnostic and therapeutic methods. Based on the above, a CT scan of the brain was performed for each patient, and the treatment process was carried out, and finally, the outcome of the hospital, which included or did not exist in the CT scan, was recorded. For each patient, a checklist including patient demographics, vital signs, Marshal scoring, Rotterdam scoring, Canadian scoring, and New Orleans scoring was completed. Results: This study was conducted during 2 years with the participation of 104 patients. The level below the chart of 0.912 with a cut point of 2.5 has 92.75% and % allocation. Marshall with AUC equal to 0.912 shows the very good performance of this feature in distinguishing between patients with and without brain trauma. The level below the chart of 0.887 with a cut point of 2.5 has 987% and % allocation. Rotterdam also performs very well with an AUC of 0.887 and is close to Marshall quality. The level below the chart is 0.439 with a point on 10.5 with 555%. Possible risk factors with AUC equal to 0.439 indicate poor performance in differentiating between infected and non-infected patients. The level under the chart was 0.619 with a significant (p=0.031) relationship. Mechanisms of trauma with an AUC equal to 0.619 indicate moderate performance in discriminating between infected and non-infected patients. The level under the chart is 0.904 with a point over 4.5, which is 92% with 100% allocation. Marshall and Rotterdam features with AUC equal to 0.904 indicate very good performance of this combination. A cut point of 4.5 was selected with a specificity of 92% and a specificity of 100%.
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https://dspace.tbzmed.ac.ir:443/xmlui/handle/123456789/72538
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