ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2014
Use of Rotterdam CT scores for mortality risk stratification in children with traumatic brain injury.
Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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42 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.
- Is tranexamic acid effective for all traumatic brain injury patients? a severity based systematic review and meta-analysis.Frontiers in pharmacology · 2025Pooled it
- Progesterone for Traumatic Brain Injury, Experimental Clinical Treatment III Trial Revisited: Objective Classification of Traumatic Brain Injury With Brain Imaging Segmentation and Biomarker Levels.Critical care explorations · 2025Trial
- Prognostic value of CT scoring systems and a simplified prediction model for pediatric moderate-to-severe traumatic brain injury.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Rapid prediction of cerebral edema on CT scan after traumatic brain injury.Trauma surgery & acute care open · 2026Article
- Development and validation of a clinical nomogram for predicting 30-day in-hospital mortality in children with moderate-to-severe traumatic brain injury.Frontiers in pediatrics · 2026Article
- A Hybrid Bidirectional Deep Learning Model Using HRV for Prediction of ICU Mortality Risk in TBI Patients.Journal of healthcare informatics research · 2025Article
- Factors predicting the need for rescue decompressive craniectomy for refractory intracranial hypertension in pediatric traumatic brain injury.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Early Continuous Electroencephalography, Clinical Parameters, and Short-Term Functional Outcomes in Pediatric Traumatic Brain Injury: Single-Center, Retrospective Cohort, 2010-2020.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025Article
- Early Prognostication in Pediatric Severe Traumatic Brain Injury in South America: Development of a Local Pediatric-Specific Model and Validation of Established Models.Neurotrauma reports · 2025Article
- Correlation between early computed tomography findings and neurological outcome in pediatric traumatic brain injury patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024Article
- The effects of cerebral pressure autoregulation status and CPP levels on cerebral metabolism in pediatric traumatic brain injury.Acta neurochirurgica · 2024Article
- The neurological wake-up test in severe pediatric traumatic brain injury: a long term, single-center experience.Frontiers in pediatrics · 2024Article
- Association of initial assessment variables and mortality in severe pediatric traumatic brain injury.World journal of pediatric surgery · 2024Article
- Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
- Determinants of Quality of Life after Pediatric Traumatic Brain Injury.Journal of pediatric intensive care · 2023Article
- Traumatic brain injury: progress and challenges in prevention, clinical care, and research.The Lancet. Neurology · 2022Review
- The Prediction of Outcomes in Patients Admitted With Traumatic Brain Injury Using the Rotterdam Score.Cureus · 2022Article
- Favourable long-term recovery after decompressive craniectomy: the Northern Finland experience with a predominantly adolescent patient cohort.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Impact of Intracranial Hypertension on Outcome of Severe Traumatic Brain Injury Pediatric Patients: A 15-Year Single Center Experience.Pediatric reports · 2022Article
- Protocol for the multicentre prospective paediatric craniectomy and cranioplasty registry (pedCCR) under the auspices of the European Society for Paediatric Neurosurgery (ESPN).Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
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7 authors at 1 institution in 1 country.
Funding
Abstract
objectivesThe Rotterdam CT score refined features of the Marshall score and was designed to categorize traumatic brain injury type and severity in adults. The objective of this study was to determine whether the Rotterdam CT score can be used for mortality risk stratification after pediatric traumatic brain injury.
designIn children with moderate to severe traumatic brain injury, a comparison of observed versus predicted mortality was calculated using published model probabilities of adult mortality. Development and validation of a new pediatric mortality model using randomly selected prediction and validation samples from our cohort.
settingA single level 1 pediatric trauma center. SUBJECTS: Six hundred thirty-two children with moderate or severe traumatic brain injury.
interventionsNone. MEASUREMENTS AND MAIN
resultsSixteen percent of the patients (101 of 632) died prior to hospital discharge. The predicted mortality based on Rotterdam score for adults with moderate or severe traumatic brain injury discriminated pediatric observed mortality well (area under the curve = 0.85; 95% CI, 0.80-0.89) but had poor calibration, overestimating or underestimating mortality for children in several Rotterdam categories. A predictive model based on children with moderate or severe traumatic brain injury from the single center discriminated mortality well (area under the curve, 0.80; 95% CI, 0.68-0.91) and showed good calibration and overall fit.
conclusionsChildren with traumatic brain injury have better survival than adults in Rotterdam CT score categories representing less severe injuries but worse survival than adults in higher score categories. A novel, validated pediatric mortality model based on the Rotterdam score is accurate in children with moderate or severe traumatic brain injury and can be used for risk stratification.
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