A STUDY ON THE NEW TRAUMA SCORE AND IMPACT CORE MODEL IN TRAUMATIC BRAIN INJURY PATIENTS

Đắc Khôi Nguyễn1, , Văn Tùng Trần1, Thanh Nga Nguyễn1, Sỹ Đông Hồ2, Việt Chiến Phùng3, Hồng Trung Lê4, Trung Việt Lê5, Trung Kiên Nguyễn1
1 Bệnh viện Quân y 103, Học viện Quân y
2 Bệnh viện Trung ương Quân đội 108
3 Bệnh viện 198 - Bộ Công an
4 Sở Y tế tỉnh Vĩnh Phúc
5 Đoàn 356, Quân khu 2

Main Article Content

Abstract

Objective: To assess the mortality prognostic value of the New Trauma score (NTS) and the IMPACT core model (cIMPACT) in traumatic brain injury (TBI) patients. Method: A prospective, cohort study on 65 traumatic brain injury, treated at Military Hospital 103 from January 2021 to March 2024. Clinical, sub-clinical factor was calculated at admission prior to any treatment intervention. Datas according to research medical records, datas were coded and processed according to statistical methods. Results: The majority of TBI patients were male (78.5%), mainly in the working age group from 16 to 59 years old, traffic accidents were the main cause of TBI (72.3%). The NTS and cIMPACT value at admission time demonstrated predictive value for mortality in traumatic brain injrury patients with an AUC of ROC being 0.76 and 0.805, respectively (p < 0.05), the optimal NTS cut-off value was 13.5 the optimal cIMPACT were 8.5 with sensitivities of 76.7% and 80%, respectively and specificities of 62.9% and 82,9%, respectively. Conclusion: The NTS and the IMPACT core model at the time of admission had a significant prognostic value for mortality in traumatic brain injury patients.

Article Details

References

1. BD Alvarez, DM Razente, DA Lacerda, et al. Analysis of the Revised Trauma Score (RTS) in 200 victims of different trauma mechanisms. Rev Col Bras Cir. 2016; 43(5):334-340.
2. PB Lovett, JM Buchwald, K Sturmann, et al. The vexatious vital: Neither clinical measurements by nurses nor an electronic monitor provides accurate measurements of respiratory rate in triage. Ann Emerg Med. 2005; 45(1):68-76.
3. JH Jeong, YJ Park, DH Kim, et al. The new trauma score (NTS): A modification of the revised trauma score for better trauma mortality prediction. BMC Surg. 2017; 17(1):77.
4. EW Steyerberg, N Mushkudiani, P Perel, et al. Predicting outcome after traumatic brain injury: Development and international validation of prognostic scores based on admission characteristics. PLoS Med. 2008; 5(8):e165; discussion e165.
5. N Carney, AM Totten, C O'Reilly, et al. Guidelines for the management of severe traumatic brain injury, fourth edition. Neurosurgery. 2017; 80(1):6-15.
6. Hà Thoại Kỳ Nguyễn Duy Linh, Võ Lê Thanh Phúc. Một số đặc điểm dịch tễ học bệnh nhân chấn thương sọ não tại bệnh viện trường Đại học Y dược Cần Thơ. Tạp chí Y Dược học Cần Thơ. 2023; 63:70 - 78.
7. G Teasdale, G Murray, L Parker, et al. Adding up the Glasgow Coma Score. Acta Neurochir Suppl (Wien). 1979; 28(1):13-16.
8. MC Gang, KJ Hong, SD Shin, et al. (2019). New prehospital scoring system for traumatic brain injury to predict mortality and severe disability using motor Glasgow Coma Scale, hypotension, and hypoxia: A nationwide observational study. Clin Exp Emerg Med. 2019; 6(2):152-159.
9. Anand P Nair, EP Unnikrishnan. Relation between new trauma score and probability of survival in head injury patients. Kerala Surgical Journal. 2021; 27(1):33-36.
10. Dgsrk Moorthy, K Rajesh, SM Priya, et al. Prediction of outcome based on trauma and injury severity score, IMPACT and CRASH prognostic models in moderate-to-severe traumatic brain injury in the elderly. Asian J Neurosurg. 2021; 16(3):500-506.
11. H Sun, HF Lingsma, EW Steyerberg, et al. External validation of the IMPACT in traumatic brain injury: Prognostic models for traumatic brain injury on the study of the NAPSe trial. J Neurotrauma. 2016; 33(16):1535-1543.