Abstract：
This was a multicenter cohort study to evaluate the relationship between radiological findings and disability in moderate and severe head injury patients. The study places were the Neurosurgery department of Sylhet M A G Osmani Medical College Hospital, Sylhet Women\'s Medical College Hospital (SWMCH) and King Faisal Hospital (KFH), Taif, KSA. Sample size was 104 and the study period was 36 months (July 2021 to December 2022). On the basis of radiological findings the participants were divided into three arms. The different arms were diffused traumatic brain injury (arm-1), focal traumatic brain injury (arm-2) and both (diffused and traumatic) types traumatic brain injury (arm-3). Outcome was assessed by modified Rankin Score (mRS). Mean age was significantly higher in female. Overall mean age was 40.28 year. Highest number was in the below 20-year age group followed by the 41-50-year age group. Lowest number of participants was in the above 60-year group. Improved group was significantly higher than \'not improved\' and the \'died\' group (p<0.00001). Improved participants were significantly higher in the arm-1 and arm-2. Mortality was significantly higher (p<0.00001) in the arm-3 group.
摘要：
这是一项多中心队列研究，旨在评估中度和重度颅脑损伤患者的放射学发现与残疾之间的关系。研究地点是SylhetMAGOsmani医学院附属医院神经外科，Sylhet妇女医学院附属医院（SWMCH）和费萨尔国王医院（KFH），Taif,KSA样本量为104，研究期为36个月（2021年7月至2022年12月）。根据放射学发现，参与者分为三个分支。不同的手臂是弥漫性创伤性脑损伤（手臂-1），局灶性创伤性脑损伤（臂-2）和两种（扩散和创伤性）类型的创伤性脑损伤（臂-3）。结果通过改良的Rankin评分(mRS)进行评估。女性的平均年龄明显更高。总体平均年龄为40.28岁。最高的数字是20岁以下年龄组，其次是41-50岁年龄组。在60岁以上的组中，参与者人数最少。改善组显着高于\'未改善\'和\'死亡\'组（p<0.00001）。改善的参与者在手臂1和手臂2中明显更高。3组的死亡率显著较高(p<0.00001)。
