Research Article

Assessment and Predicting Factors of Repeated Brain Computed Tomography in Traumatic Brain Injury Patients for Risk-Stratified Care Management: A 5-Year Retrospective Study

Table 2

Clinical characteristics between conservative treatment group and neurosurgical treatment group after routine repeated brain CT in mild TBI (GCS 13–15).

CharacteristicConservative treatment ()Neurosurgical treatment () value

Age, mean (SD), years56.5 (23.0)65.3 (17.7)0.295
 Age > 50 y, (%)54 (60.0)6 (75.0)0.478

Male sex, (%)55 (61.1)6 (75.0)0.706

Traffic injury, (%)33 (36.6)1 (12.5)0.256

Underlying disease, (%)
 Diabetes mellitus17 (18.8)3 (37.5)0.354
 Hypertension38 (42.2)6 (75.0)0.135
 Ischemic heart disease10 (11.1)3 (37.5)0.070
 Cerebrovascular disease9 (10.0)1 (12.5)0.592

Medication, (%)
 Aspirin21 (23.3)2 (25.0)1.000
 Warfarin4 (4.4)0 (0.0)1.000
 Clopidogrel5 (5.5)3 (37.5)0.017

ISS, mean (SD)18.6 (8.6)21.2 (4.4)0.405
 ISS > 19, (%)37 (41.1)5 (62.5)0.282

Brain AIS, mean (SD)3.7 (1.1)4.5 (0.5)0.080
 AIS > 4, (%)18 (20.0)4 (50.0)0.073

SBP on admission, mean (SD), mmHg150.7 (31.7)164.3 (23.2)0.240

Heart rate on admission, mean (SD), beats/min85.9 (16.2)96.5 (24.2)0.095

Result of the first brain CT, (%)
 Epidural hematoma16 (17.7)1 (12.5)1.000
 Subdural hematoma51 (56.6)7 (87.5)0.136
 Subarachnoid hemorrhage50 (55.5)3 (37.5)0.464
 Hemorrhagic contusion46 (51.1)3 (37.5)0.715
 Intraventricular hemorrhage6 (6.6)0 (0.0)1.000
 Diffuse axonal injury5 (5.5)0 (0.0)1.000
 Skull fracture30 (33.3)3 (37.5)1.000
 Base of skull fracture5 (5.5)1 (12.5)0.409

Midline shift, mean (SD), mm0.67 (1.5)4.25 (2.1)
 Midline shift, median, mm03.50.0015
 Midline shift >  2 mm, (%)11 (12.2)5 (62.5)0.003

Duration from injury to the first brain CT, median, hr2.91.20.495

Duration from injury to routine repeated brain CT, median, hr46.938.70.603