An evaluation of CT imaging features with clinical outcome in moderate to severe traumatic brain injury

In our prospective cohort study, which includes 85 patients with moderate to severe head injury(<12), with positive neuro parenchymal findings on first CT scan of post trauma patients were included. Individual imaging characteristic and their effect on patients mortality were assessed by statistical methods like chi square test and multivariate logistic regression analysis. RESULTS: Regression analysis was used to asses mortality outcome gives significant p value for following factors like Basal cistern effaced – 0.042, Midline shift - 0.036, intra ventricular hemorrhage – 0.017, herniation – 0.08, Diffuse axonal injury 0.04. In our study mortality is more with a midline shift of >1omm, diffuse axonal injury grade 3, basal cistern effacement, intra ventricular hemorrhage, brain herniation. CONCLUSION: Based on the study the individual multivariate parameters assessment is helpful in predicting the mortality rate and outcome of the patients. So here by conclude that initial CT imaging and its multivariate regression analysis can assess the outcome of the patient