Ability of the PILOT score to predict 6-month functional outcome in pediatric patients with moderate–severe traumatic brain injury
Journal of Pediatric Surgery Jul 24, 2019
Flaherty BF, et al. - Researchers examined the predictive value of the Pediatric Intensity Level of Therapy (PILOT) score alone vs in combination with emergency department (ED) GCS and Rotterdam score of initial head CT for functional outcomes in children with traumatic brain injury (TBI). Among 108 children (aged 31 months–15 years) with moderate to severe TBI, they evaluated the predictive ability of PILOT, ED GCS, and Rotterdam scores with regard to the 6-month Pediatric Injury Functional Outcome Scale (PIFOS) using multivariable regression models with enrollment site, age, and sex as covariates. Findings suggest a moderate correlation of the PILOT score with functional outcome following TBI, and it performed better than other common predictors and may have a potential utility as predictor or moderator of functional outcomes. PILOT total score could predict PIFOS better than ED GCS or Rotterdam score and was comparable to PILOT, ED GCS, and Rotterdam score combined.
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