A Nomogram for Predicting Prognostic Assessment of Traumatic Intracranial Hematoma: A Retrospective Cohort Study

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

World neurosurgery Pub Date : 2025-02-15 DOI:10.1016/j.wneu.2025.123699

Jian-Rong Yu , Hai Hu , Zhu Da-Qing , Jun-Tao Tan , Qin Zhuang

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引用次数: 0

Abstract

Background

This retrospective study aimed to identify key prognostic factors for patients with traumatic intracranial hemorrhage (TICH) and develop a comprehensive nomogram for prognostic assessment.

Methods

A retrospective study was carried out on TICH patients at a single-center hospital from October 2013 to September 2022. Using logistic regression analyses, key prognostic factors for TICH were identified and used to create a predictive nomogram model. This model was internally validated for its reliability and accuracy.

Results

The study included 252 TICH patients. Age ≥ 45 years (odds ratio [OR]: 3.13; 95% confidence interval [CI]: 1.27–5.36; P = 0.002), preoperative Glasgow Coma Scale score <5 (OR: 3.93; 95% CI: 2.26–7.35; P < 0.001), traumatic coagulation abnormalities status (OR: 1.67; 95% CI: 1.13–3.32; P = 0.035), and hematoma volume (P < 0.001) were identified as independent prognostic factors for TICH patients. A comprehensive predictive model was constructed based on these factors and internally validated to ensure its reliability and robustness.

Conclusions

Age, Glasgow Coma Scale scores, traumatic coagulation abnormalities status, and hematoma volume are independent prognostic factors for TICH. This model offers a valuable tool for clinicians in assessing TICH patient outcomes, warranting further validation and exploration of additional predictive factors for enhanced prognostic accuracy.

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来源期刊

World neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

3.90

自引率

15.00%

发文量

1765

审稿时长

47 days

期刊介绍： World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS