BACKGROUND: Marshall computed tomographic (CT) classification is widely used as a predictor of outcome. However, this grading system lacks the following variables, which are found to be useful predictors: subarachnoid/ @entity548 , @entity28411 , and extent of basal cistern compression. A new classification called the Rotterdam grading system, incorporating the above variables, was proposed later. In the original paper, this system was found to have superior discrimination as compared to Marshall grading, however, Rotterdam grading has not been validated widely. We aimed to compare the discriminatory power of both grading systems. METHODS: This is a prospective study of @entity1 with moderate and severe @entity131 ( @entity772 scale (GCS) 3-12) who presented to our casualty. All the @entity1 were followed up for 2  weeks to determine early mortality. The discriminatory power of each grading system was determined using area under the receiver operating  characteristic curve (AUC). RESULTS: A total of 134 @entity1 , mean age 38.3 (  15.7) years, were recruited for study. The overall mortality was 11.2  %. The mean GCS of these @entity1 was 9.6 (  2.3). There was good correlation between Marshall and Rotterdam grading, r   =   0.68 (significant at 0.01 level). The Marshall CT classification had reasonable discrimination (AUC - 0.707), and Rotterdam grading had good discrimination (AUC - 0.681). CONCLUSIONS: Both Marshal and Rotterdam grading systems are good in predicting early mortality after moderate and severe @entity131 . As the Rotterdam system also includes additional variables like @entity510 , it may be preferable, particularly in @entity1 with @entity131 .

Comparison of predictability of Marshall and Rotterdam CT scan scoring system in determining early mortality after XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity131 :: ('MESH:D001930', 'Disease') :: ['TBI', 'diffuse injury'] @entity548 :: ('MESH:D006470', 'Disease') :: ['intraventricular hemorrhage'] @entity510 :: ('MESH:D013345', 'Disease') :: ['subarachnoid hemorrhage'] @entity772 :: ('MESH:D003128', 'Disease') :: ['Glasgow coma'] @entity28411 :: ('MESH:D006407', 'Disease') :: ['extradural hematoma']
@entity131 :: (MESH:D001930,Disease) :: ['traumatic brain injury']
