The Helsinki, Rotterdam and Marshall Scoring Systems in Prediction of Long-Term Outcome in Patients with Traumatic Brain Injury: Prospective Study

Document Type : Original Article

Authors

1 M.B.B.CH, Department of Neurosurgery

2 Professor and Head of Neurosurgery Department Faculty of Medicine - Benha University

3 Professor of Neurosurgery Faculty of Medicine - Benha University

4 Assistant Professor of Neurosurgery Faculty of Medicine - Benha University

Abstract

Background: When an external force physically disrupts brain function or induces other symptoms of brain disorders, traumatic brain injury (TBI) occurs [1]. Comparing the Helsinki CT score to the CT screening systems of Rotterdam and Marshall allowed us to examine its capacity to independently predict the long-term prognosis of TBI patients.

Methods: This prospective comparative observational cohort study was carried out on 300 cases with TBI that was admitted for surgical or conservative treatment at the Neurosurgery Department and/or Neurosurgery Intensive Care Unit in Benha University Hospitals. All patients were subjected to clinical evaluation and radiological evaluation.

Results: It shows that in multiple regression analysis, Rotterdam, Marshall, and Helsinki Scores are significant predictors for unfavourable outcomes, mortality and change in Modified Rankin score at the follow-up in the study participants

Conclusions: At cutoff values of >2, >2, and >2 respectively, the Rotterdam Score, Marshall Score, and Helsinki Score are significant predictors of unfavorable outcomes in TBI. Rotterdam Score, Marshall Score, and Helsinki Score are significant predictor of mortality in traumatic brain injury, at a cut-off value of >3, >3, and >5 respectively.

Rotterdam, Marshall, and Helsinki Scores are significant predictors for the change in Modified Rankin score at the follow-up in TBI.

Keywords

Benha Medical Journal
Volume 42, Issue 8
August 2025
Pages 144-156

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