Relation between mortality for four years and computerized tomography by marshall score in traumatic brain injury critical patients

Results 531 adult patients. Mean age 40.35 ± 19.75 years. At first year, 171 patients had died (32.2%): 133 in intensive care (25%), 19 in hospital (hospital mortality 28.6%) and 19 out of the hospital to follow up; 35 missing cases (6.6%). At 4 years, 181 had died (34.1%); 86 cases were lost to follow up (16.2%). The patients dead at four years to follow up were older (48.68 ± 21.58 vs 34.45 ± 16.99 years; p < 0.001), more severity by APACHE-II (23.12 ± 6.38 vs 14.88 ± 5.57 points, p < 0.001) and higher admission coma degree (5.59 ± 3.28 vs 8.62 ± 3.61 points, p < 0.001). Mortality at 4 years is associated with type of injury used computerized tomography (CT) by Marshall score on admission. Mortality at diffuse injury type I was 9.1% vs 68.2% in injury type IV. By logistic regression the mortality at 4 years was associated with APACHE-II (OR: 1.12; CI 1.06-1.18), age (OR: 1.04, CI 1.03-1.06), Injury Severity Score (OR: 1.02; CI 1-1.04), Glasgow coma scale at admission (OR: 0.84, CI 0.76-0.93), tracheostomy (OR: 0.21; IC 0,12-0,37) and Marshall classification: diffuse injury type I (OR: 1), type II (OR: 1.48; CI 0,46-4.77), type III (OR: 2.94; CI 0.94-9.16) and type IV (OR: 9.97, CI 2.68-37.54); evacuated mass (OR: 4.6; CI 1.45-42.65), not evacuated mass (OR: 10.07; IC 2,37-42,65).