A comparison of Canadian Head CT rule and New Orleans criteria in mild TBI (Traumatic Brain Injury) patients in a Tertiary Hospital in Karachi, Pakistan.

  • Ramesh Kumar Dow University of Health Sciences Civil Hospital Karachi.
  • Qazi Muhammad Zeeshan Dow University of Health Sciences Civil Hospital Karachi.
  • Shiraz Ahmed Ghori Dow University of Health Sciences Civil Hospital Karachi.
  • Atiq Ahmed Khan Dow University of Health Sciences Civil Hospital Karachi.
  • Asim Rehmani Dow University of Health Sciences Civil Hospital Karachi.
  • Mohammed Faiq Ali Dr. Ruth K.M Pfau Civil Hospital Karachi.
  • Sheraz Raza Dow University of Health Sciences
  • Muhammad Sheraz Raza Dow University of Health Sciences, Karachi.
Keywords: Canadian Head CT Rule, CT scans, Glasgow Comma Scale, Mild TBI, New Orleans Criteria, X- ray

Abstract

Objectives: The aim of our study is to compare the Canadian Head CT rule to New Orleans Criteria, to find a more efficient guideline in predicting the important CT findings in mild Traumatic Brain Injury (TBI) cases. Study Design: Observational study. Setting: Tertiary Health Care Facility in Karachi, Pakistan. Period: 6 months from June 2017 to December 2017. Material & Methods: We divided a sample of 150 mild TBI patients into two groups of Glasgow coma scale (GCS) scores of 13-14 and GCS score of 15. Then using a separate scoring system for both the CCHR and NOC, we evaluated their accuracy and efficiency in predicting mild TBI through a total of 7 major clinical items. Specificity and sensitivity were calculated to compare both the scoring systems and results were compared through univariate and multivariate analysis. A p value of less than 0.05 was considered to be statistically significant. Results: We analyzed the relation between clinical items and important CT findings and found that the CCHR, through multivariate analysis, was more closely associated with important CT findings. We also found that the factors of age, and the Glasgow comma scale score were also strong indicators of important CT findings regardless of which guideline was used. Conclusion: In our study, we found CCHR to be a stronger predictor of important CT findings than the NOC. We found that CCHR performed significantly higher than the NOC.

Author Biographies

Ramesh Kumar, Dow University of Health Sciences Civil Hospital Karachi.

MBBS, FCPS

Assistant Professor

 

Qazi Muhammad Zeeshan, Dow University of Health Sciences Civil Hospital Karachi.

MBBS, FCPS

Assistant Professor

Shiraz Ahmed Ghori, Dow University of Health Sciences Civil Hospital Karachi.

MBBS, FCPS

Assistant Professor Neurosurgery

Atiq Ahmed Khan, Dow University of Health Sciences Civil Hospital Karachi.

MBBS, FCPS

Associate Professor and Head

Asim Rehmani, Dow University of Health Sciences Civil Hospital Karachi.

MBBS, FCPS

Assistant Professor

Mohammed Faiq Ali, Dr. Ruth K.M Pfau Civil Hospital Karachi.

MBBS, MRCS

Assistant Professor Neurosurgery

Muhammad Sheraz Raza, Dow University of Health Sciences, Karachi.

MBBS

Intern

 

Published
2020-10-10