共 50 条
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:
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.
引用
收藏
页数:5
相关论文