The prognostic value of the Koret CT score in dogs following traumatic brain injury

被引:4
|
作者
Rapoport, K. [1 ]
Mateo, I. [2 ]
Peery, D. [3 ]
Mazaki-Tovi, M. [4 ]
Klainbart, S. [5 ]
Kelmer, E. [5 ]
Ruggeri, M. [1 ]
Shamir, M. H. [1 ]
Chai, O. [1 ]
机构
[1] Hebrew Univ Jerusalem, Koret Sch Vet Med, Teaching Hosp, Dept Neurol & Neurosug, IL-76100 Rehovot, Israel
[2] Univ Alfonso X El Sabio, Hosp Clin Vet, Dept Neurol, Madrid 28691, Spain
[3] Hebrew Univ Jerusalem, Med Teaching Hosp, Koret Sch Vet, Dept Radiol, IL-76100 Rehovot, Israel
[4] Hebrew Univ Jerusalem, Koret Sch Vet Med, Teaching Hosp, Dept Internal Med, IL-76100 Rehovot, Israel
[5] Hebrew Univ Jerusalem, Teaching Hosp, Koret Sch Vet Med, Dept Emergency & Crit Care, IL-76100 Rehovot, Israel
来源
VETERINARY JOURNAL | 2020年 / 266卷
关键词
Computed tomography; Dog; Koret CT score; Prognosis; Traumatic brain injury; HEAD TRAUMA; SYSTEM; CLASSIFICATION; PATIENT; SCALE;
D O I
10.1016/j.tvjl.2020.105563
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
Traumatic brain injury (TBI) is a common condition in veterinary medicine with relatively high mortality rate. Recently, a study that correlated abnormal computed tomography (CT) findings with outcome in dogs with head trauma established a prognostic scoring system termed Koret CT score (KCTS). The purpose of this study was to evaluate the accuracy of the KCTS in making shortand long-term prognosis in dogs presented within 72 h of TBI. Thirty-five dogs that were admitted to a hospital during 2010-2019 with TBI and were CT-scanned within 72 h of injury were included in the study. Retrospectively collected data included signalment, modified Glasgow Coma Scale score (MGCS), CT findings, and outcome, i.e. short-term (defined as 10 days) and long-term (6 months) survival. CT images were reviewed and the KCTS was calculated for all dogs. Association between KCTS and outcome was examined. A significant negative association was found between KCTS and both shortand long-term survival. The area under receiver operating characteristic curve for KCTS for short- and long-term survival was 0.9 and 0.87, respectively. Furthermore, the probability of survival in the short term was predicated by the KCTS in an almost linear fashion and a score of 3 points or less on the KCTS was associated with survival with 85% sensitivity and 100% specificity. These results validate the prognostic value of the KCTS in dogs with TBI and provide a complementary tool for serial clinical and neurological evaluation. (C) 2020 Elsevier Ltd. All rights reserved.
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页数:5
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