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Enhanced prognostic accuracy in severe TBI: a comprehensive nomogram analysis.

Authors :
Li J
Jin M
Yang J
Source :
Neuro-Chirurgie [Neurochirurgie] 2024 Oct 10; Vol. 71 (1), pp. 101597. Date of Electronic Publication: 2024 Oct 10.
Publication Year :
2024
Publisher :
Ahead of Print

Abstract

Objective: This study aims to enhance prognostic accuracy in severe traumatic brain injury (STBI) by developing a novel nomogram that integrates clinical and paraclinical data.<br />Methods: Data from 263 STBI patients were analyzed, focusing on critical variables such as age, Glasgow Coma Scale scores, pupil responsiveness, CT findings, and blood markers. A rigorous regression analysis was conducted to identify significant predictors. The nomogram underwent internal and external validation, and its predictive performance was compared with existing models through a meta-analysis.<br />Results: The novel nomogram demonstrated superior predictive accuracy for STBI outcomes compared to traditional models. Key predictors, including age, Glasgow Coma Scale scores, pupil responsiveness, CT findings, and specific blood markers, were harmonized to provide a more precise prognostic tool. Validation processes confirmed the robustness and reliability of the nomogram.<br />Conclusion: The developed nomogram represents a significant advancement in STBI prognosis, offering clinicians a powerful tool to improve patient care strategies. By integrating CT imaging and blood parameters, the nomogram enhances the precision of outcome predictions, facilitating better-informed clinical decisions.<br />Competing Interests: Declaration of competing interest The author declares no conflict of interest.<br /> (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Details

Language :
English
ISSN :
1773-0619
Volume :
71
Issue :
1
Database :
MEDLINE
Journal :
Neuro-Chirurgie
Publication Type :
Academic Journal
Accession number :
39393588
Full Text :
https://doi.org/10.1016/j.neuchi.2024.101597