Imaging predictors of hemorrhagic progression of a contusion after traumatic brain injury: a systematic review and meta-analysis

作者全名："Peng, Jie; Luo, Tao; Li, Xiaoyu; Li, Bin; Cheng, Yuan; Huang, Qin; Su, Jun"

作者地址："[Peng, Jie; Luo, Tao; Li, Xiaoyu; Su, Jun] Peoples Hosp Nanchuan, Dept Neurosurg, Chongqing 408400, Peoples R China; [Li, Bin; Cheng, Yuan; Huang, Qin] Chongqing Med Univ, Affiliated Hosp 2, Dept Neurosurg, Chongqing 400010, Peoples R China"

通信作者："Su, J (通讯作者)，Peoples Hosp Nanchuan, Dept Neurosurg, Chongqing 408400, Peoples R China.; Huang, Q (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Dept Neurosurg, Chongqing 400010, Peoples R China."

来源：SCIENTIFIC REPORTS

ESI学科分类：Multidisciplinary

WOS号：WOS:001185588800072

JCR分区：Q1

影响因子：3.8

年份：2024

卷号：14

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Traumatic brain injury; Hemorrhagic progression of a contusion; Imaging features; Meta-analysis; Imaging predictors

摘要："The hemorrhagic progression of a contusion (HPC) after Traumatic brain injury (TBI) is one of the important causes of death in trauma patients. The purpose of this meta-analysis was to evaluate the predictive effect of imaging features of Computed tomography (CT) on HPC after TBI. A comprehensive systematic search was performed using PubMed, EMBASE, and WEB OF SCIENCE databases to identify all relevant literature. A total of 8 studies involving 2543 patients were included in this meta-analysis. Meta-analysis showed that subarachnoid hemorrhage (OR 3.28; 95% CI 2.57-4.20), subdural hemorrhage (OR 4.35; 95% CI 3.29-5.75), epidural hemorrhage (OR 1.47;95% CI 1.15-1.89), contrast extravasation (OR 11.81; 95% CI 4.86-28.71) had a predictive effect on the occurrence of HPC. Skull fracture (OR 1.64; 95% CI 0.84-3.19) showed no statistical significance, and midline displacement > 5 mm (OR 4.66; 95% CI 1.87-11.62) showed high heterogeneity. The results of this meta-analysis showed that some imaging features were effective predictors of HPC after TBI. Well-designed prospective studies are needed to more accurately assess the effective predictors of HPC after TBI."

基金机构："Kuanren Talent Program of the Second Affiliated Hospital of Chongqing Medical University, Chongqing Health Commission and Science and Technology Bureau [2024MSXM163]; Chongqing Natural Science Foundation Project [cstc2021jcyj-msxmX0036]; Chongqing Science and Health Joint Traditional Chinese Medicine Research Project [2019ZY023458]"

基金资助正文："This study was funded by the Kuanren Talent Program of the Second Affiliated Hospital of Chongqing Medical University, Chongqing Health Commission and Science and Technology Bureau (No.2024MSXM163), Chongqing Natural Science Foundation Project (cstc2021jcyj-msxmX0036) and Chongqing Science and Health Joint Traditional Chinese Medicine Research Project (2019ZY023458)."