Authors
Kathleen R Ran, Melanie Alfonzo Horowitz, Jiaqi Liu, Vikas N Vattipally, Joseph M Dardick, John R Williams, Jordina Rincon-Torroella, Risheng Xu, Debraj Mukherjee, Elliott R Haut, Jose I Suarez, Judy Huang, Chetan Bettegowda, Tej D Azad, James P Byrne
Publication date
2024/5/3
Journal
Journal of neurosurgery
Volume
1
Issue
aop
Pages
1-9
Publisher
American Association of Neurological Surgeons
Description
OBJECTIVE
The Glasgow Coma Scale–Pupils (GCS-P) score has been suggested to better predict patient outcomes compared with GCS alone, while avoiding the need for more complex clinical models. This study aimed to compare the prognostic ability of GCS-P versus GCS in a national cohort of traumatic subdural hematoma (SDH) patients.
METHODS
Patient data were obtained from the National Trauma Data Bank (2017–2019). Inclusion criteria were traumatic SDH diagnosis with available data on presenting GCS score, pupillary reactivity, and discharge disposition. Patients with severe polytrauma or nonsurvivable head injury at presentation were excluded. Sensitivity, specificity, and area under the receiver operating characteristic curve (AUC) of GCS-P versus GCS scores for inpatient mortality prediction were evaluated across the entire cohort, as well as in …
Scholar articles
KR Ran, MA Horowitz, J Liu, VN Vattipally, JM Dardick… - Journal of neurosurgery, 2024