Predicting outcome in traumatic brain injury using a new outcome assessment scale – The Lagos Brain Disability Examination Scale (LABDES).

Introduction: Traumatic brain injury management is a leading cause of disability and death in young adults. Our objective was to develop a new multidomain, comprehensive, sensitive, objective and easily reproducible outcome scale with high predictive accuracy to assess patients with traumatic brain injury. The developed outcome assessment tool, the Lagos Brain Disability Examination Scale was then tested for any association of outcome predictability with patients' admission modified Marshall, Rotterdam and Helsinki computerized tomographic scores. Methods: A prospective cohort study was carried out of patients aged 16 years and above who sustained traumatic brain injury. All recruited patients had their biodata and derived cranial computerized tomographic scores documented using the modified Marshall, Rotterdam and Helsinki computerized tomographic scale on a pro forma. Outcomes were assessed at eight weeks after traumatic brain injury with the Lagos Brain Disability Examination Scale. Statistical significance was judged at p < 0.05 level. Results: Forty-one patients were included (31 males; mean age 38.6 years, median 38 years, range 16–83 years). The Helsinki score gave a better prognostic predictability compared to the other computerized tomographic scoring systems. Twenty-one (51.2%) patients had good recovery according to the Lagos Brain Disability Examination Scale grade. Conclusions: Patients' outcome prediction on the Lagos Brain Disability Examination Scale is best using the initial Helsinki computerized tomographic scoring system. The Lagos Brain Disability Examination Scale appears to be a comprehensive and valid outcome measure to use in patients with traumatic brain injury. [ABSTRACT FROM AUTHOR]