BACKGROUND Traumatic brain injuries represent a significant cause of morbidity and mortality worldwide and road traffic crashes account for a significant proportion of these injuries. It is one of the leading causes of death, especially among young adults, and, according to the World Health Organization, this will surpass many diseases as the major cause of death and disability by the year 2020 and lifelong disability is common in those who survive. It is also known as the silent epidemic. Many CT scan scoring systems for brain injury have been developed but none of them are validated. These scores are based on structural findings of CT scan to predict the prognosis. Marshall and Rotterdam are the two most widely used scoring systems. METHOD This was an observational study with prospectively collected data.923consecutive patients with TBI this study aimed to compare the Helsinki CT scoring system with the Rotterdam scoring system to find out the better score for the prognostic purpose by using the Glasgow outcome score. RESULTS Helsinki CT scoring system was found to be the most accurate score among the others in predicting the outcome of the patient based on morphological findings in CT scan. These scores also guided us regarding the treatment plan and patients with the good prognostic outcome are usually treated aggressively. Also these scores guide clinicians whether to opt for a conservative approach or any intervention. CONCLUSION In this study we compared, Rotterdam vs. Helsinki CT Scoring System. We observed that the Helsinki score was better outcome predictors for TBI than the Rotterdam score and can be used as a single validated score in predicting outcome and guiding the treatment.

中文翻译：

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创伤性脑损伤的预后计算机断层扫描评分

背景技术创伤性脑损伤是全世界发病率和死亡率的重要原因，道路交通事故占这些损伤的很大一部分。它是导致死亡的主要原因之一，尤其是在年轻人中，据世界卫生组织称，到 2020 年，这将超过许多疾病，成为导致死亡和残疾的主要原因，而在幸存下来的人中，终身残疾很常见. 它也被称为无声流行病。已经开发了许多脑损伤 CT 扫描评分系统，但没有一个经过验证。这些评分是基于 CT 扫描的结构结果来预测预后。马歇尔和鹿特丹是使用最广泛的两种评分系统。方法 这是一项具有前瞻性收集数据的观察性研究。923 名连续 TBI 患者 本研究旨在比较赫尔辛基 CT 评分系统与鹿特丹评分系统，以通过使用格拉斯哥结局评分找出更利于预后的评分。结果 赫尔辛基 CT 评分系统被认为是根据 CT 扫描中的形态学发现预测患者预后的最准确评分系统。这些评分还指导我们制定治疗计划，预后良好的患者通常会得到积极治疗。这些分数还指导临床医生是选择保守方法还是任何干预。结论 在这项研究中，我们比较了鹿特丹与赫尔辛基 CT 评分系统。