Evidence map›Paper›PMID 25674339›Full record

ArticleJournal of Korean Neurosurgical Society2015

A design for evaluation of the trauma apportionment in cerebral infarction after trauma.

Tae-Hoon Kim, Kyeong-Seok Lee, Hae-Ran Park, Jae-Joon Shim, Seok-Mann Yoon, Jae-Won Doh

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Article in Journal of Korean Neurosurgical Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Tae-Hoon KimDepartment of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Kyeong-Seok LeeDepartment of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Hae-Ran ParkDepartment of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Jae-Joon ShimDepartment of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Seok-Mann YoonDepartment of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Jae-Won DohDepartment of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePosttraumatic cerebral infarction (CI) is a well-known complication of traumatic brain injury (TBI). However, the causation and apportionment of trauma in patients with CI after TBI is not easy. There is a scoring method, so-called trauma apportionment score (TAS) for CI, consisted with the age, the interval, and the severity of the TBI. We evaluated the reliability of this score.

methodsWe selected two typical cases of traumatic CI. We also selected consecutive 50 patients due to spontaneous CI. We calculated TAS in both patients with traumatic and spontaneous CI. To enhance the reliability, we revised TAS (rTAS) adding three more items, such as systemic illness, bad health habits, and doctor's opinion. We also calculated rTAS in the same patients.

resultsEven in 50 patients with spontaneous CI, the TAS was 4 in 44 patients, and 5 in 6 patients. TAS could not assess the apportionment of trauma efficiently. We recalculated the rTAS in the same patients. The rTAS was not more than 11 in more than 70% of the spontaneous CI. Compared to TAS, rTAS definitely enhanced the discriminating ability. However, there were still significant overlapping areas.

conclusionTAS alone is insufficient to differentiate the cause or apportionment of trauma in some obscure cases of CI. Although the rTAS may enhance the reliability, it also should be used with cautions.

Indexed as

CausalityCerebral infarctionCompensation and redressCraniocerebral trauma

Identifiers

PMID25674339
PMCPMC4323500

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