Prognostic model for predicting outcome after traumatic brain injury
Predicting outcome after traumatic brain injury

These prognostic models may be used as an aid to estimate mortality at 14 days and death and severe disability at six months in patients with traumatic brain injury (TBI). The predictions are based on the average outcome in adult patients with Glasgow coma score (GCS) of 14 or less, within 8 hours of injury, and can only support - not replace - clinical judgment. Although individual names of countries can be selected in the models, the estimates are based on two alternative sets of models (high income countries or low & middle income countries).

Country
Age, years
Glasgow coma score
Pupils react to light
Major extra-cranial injury? help icon
CT scan available?
Presence of petechial haemorrhages
Obliteration of the third ventricle or basal cisterns
Subarachnoid bleeding
Midline shift
Non-evacuated haematoma
Risk of 14 day mortality (95% CI) -
Risk of unfavourable outcome at 6 months -

Reference:
The MRC CRASH Trial Collaborators. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ 2008 doi:10.1136/bmj.39461.643438.25 2007;

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