Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The present study was conducted on 41 patients with moderate and severe Traumatic brain injury brought to the emergency department (ED). In the present study, the mean GCS was 8.07±3.21, the mean RTS was 6.09±1.37 and the mean of a combination of RTS+ MCTC was 2.34±1.28 respectively. Out of 41 cases, 29 cases were managed conservatively and 12 cases required surgical intervention. Out of the 29 cases treated non‐surgically, 9 cases had poor/unfavourable outcomes. 4 cases of severe TBI in the non‐surgical management group had died. 20 cases had favourable outcomes after 1 month of discharge. Out of 12 cases treated surgically, 8 cases had poor/unfavourable outcomes. The prediction of poor outcome of the Modified trauma Marshall score (RTS+MCCT) after 1 month of patient discharge was satisfactory compared to the Marshall CT score and RTS score alone, the correlation of RTS+MCTC with GOS was shown positive correlation (R=0.377) and the correlation between them was shown statistically significant (P=<0.001). Area under the ROC curve (AUC) analysis of the RTS, MCCT and RTS+MCCT score for the poor outcome group showed that the RTS+MCCT score had significantly higher AUC value (AUC=.835, P=<0.001 than the MCCT score (AUC=.704, p= 0.029) and the RTS score (AUC=.656, p=0.095). Combination of RTS+MCCT has the best sensitivity at 81.25% than MCCT (sens: 56.25%) and RTS (sens: 37.50%). Due to the fact that there is a wide range of possible outcomes, the majority of medical specialists are unable to precisely estimate the prognosis. This study found that the combination of RTS+MCTC was accurate (statistically significant P=0.001) in predicting outcomes in patients with moderate to severe head injuries brought to a tertiary centre. Modified Trauma Marshall score (RTS+MCCT) had a higher Specificity (84%) and sensitivity 81.25%. The AUC for poor outcomes for RTS+MCCT was shown statistically significant (P=0.001). Modified Trauma Marshall score (RTS+MCCT) score can be used accurately for better prediction of outcomes in patients with moderate and severe traumatic brain injury when compared to RTS and MCCT scores. In order to properly evaluate the results of this newly proposed formula, additional research involving a greater number of samples is required.
How to cite this article:
G. Ajitha, Prasad Vemula and Snehalatha Inturi. A Study of Modified Revised Trauma Marshall Score as a Tool in Predicting the Outcome of Moderate and Severe Traumatic Brain Injury.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.2.57.61
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.2.57.61