Outcome in Pediatric Population of Traumatic Brain Injury Based on Rotterdam Score

Authors

  • Nadia Banaras Department of Neurosurgery, Trauma Center, Civil Hospital, Quetta
  • Nadia Banaras Department of Neurosurgery, Trauma Center, Civil Hospital, Quetta
  • Aneeta Gazal Department of Neurosurgery, Fouji Foundation Hospital, Rawalpindi
  • Rabail Zamir Department of Neurosurgery, Indus Medical College, Tando Muhammad Khan
  • Sumayya Gilani ⁴Department of Neurosurgery, Pakistan Air Force (PAF) Hospital, Islamabad – Pakistan

DOI:

https://doi.org/10.36552/pjns.v30i3.1301

Keywords:

Traumatic brain injury, pediatric population

Abstract

Objective:  To evaluate the predictive value of the Rotterdam CT score for in-hospital mortality in pediatric TBI.

Materials & Methods:  This prospective observational study was performed in the Emergency Department, Section of Neurosurgery, Trauma Center, Civil Hospital. CT brain imaging was performed at admission, and outcomes were assessed over two weeks.

Results:  The patients had a mean age of 10.18 ± 4.74 years; 96 (66.7%) were boys, and 48 (33.3%) were girls. Road traffic accidents were recorded in 64 (44.45%) cases. Nineteen patients died, giving an overall mortality of 13.1%. Mortality rose as the Rotterdam score increased and was greatest at score 6. The association between Rotterdam score and mortality was statistically significant (Chi-square = 15.043; p < 0.001).

Conclusion:  In this pediatric cohort, the Rotterdam score was useful for estimating the risk of mortality after TBI.

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Published

2026-09-25

Issue

Vol. 30 No. 3 (2026): July-Sept

Section

Original Articles

License

Copyright (c) 2026 Nadia Banaras, Nadia Banaras, Aneeta Gazal, Rabail Zamir, Sumayya Gilani

The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).