The Rotterdam CT score refined features of the Marshall score and was designed to categorize traumatic brain injury type and severity in adults. The score was developed for prognostic purposes.
The Rotterdam CT score provides great prognostic discrimination and is an independent predictor of unfavorable outcomes. Huang et al. suggest that the Rotterdam CT score be included as a prognosticator in the overall assessment of clinical condition of TBI patients before decompressive craniectomy (DC) 1).
Children with traumatic brain injury have better survival than adults in Rotterdam CT score categories representing less severe injuries but worse survival than adults in higher score categories. A novel, validated pediatric mortality model based on the Rotterdam score is accurate in children with moderate or severe traumatic brain injury and can be used for risk stratification 2).
Since its introduction in 2005, few studies have compared the performance of the Marshall CT classification and the Rotterdam CT score for predicting long-term outcome (neurological and mortality) of patients with TBI 3).
0: no shift or ⇐ 5mm
1: shift > 5mm
The final score is the sum of the scoring items + 1.
Score 1: 0%
Score 2: 7%
Score 3: 16%
Score 4: 26%
Score 5: 53%
Score 6: 61% 4).