Retrospective Study: The Effect of the CALLY Index on Neurological Prognosis in Patients Presenting to the Emergency Department with Head Trauma | ||
| Minia Journal of Medical Research | ||
| Volume 36, Issue 3, July 2025, Pages 130-137 PDF (444.71 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2025.386632.1966 | ||
| Author | ||
| erkan boğa* | ||
| Department of Emergency Medicine, Esenyurt Necmi Kadıoğlu State Hospital, Esenyurt, Istanbul, Türkiye | ||
| Abstract | ||
| Objective: The main objective of this research is to determine the relationship between the CALLY Index and neurological outcomes in patients with head trauma who are admitted to the emergency department. The study aims to determine whether the CALLY Index offers any additional prognostic value over the Glasgow Coma Scale and routine biochemical markers and if it can be used to predict the risks of morbidity and mortality in this patient population. Methods: This retrospective observational study was conducted on adult patients admitted to the emergency department with head trauma. Demographic characteristics, clinical findings, and laboratory parameters were reviewed. The CALLY Index was calculated for each patient. The primary outcome was the correlation between the CALLY Index and Glasgow Coma Scale (GCS) scores, as well as short-term neurological outcomes. Patients were grouped based on their neurological status and outcomes, and statistical analyses were conducted to evaluate the predictive power of the CALLY Index. Results: A total of 246 patients were included in the study. A statistically significant correlation was found between lower CALLY Index values and poorer neurological outcomes (p < 0.05). Patients with low CALLY Index scores had significantly lower GCS scores and higher rates of ICU admission and mortality. The index showed moderate sensitivity and specificity in predicting unfavorable outcomes. Conclusion: The CALLY Index may serve as a useful and easily obtainable biomarker for predicting neurological prognosis in head trauma patients in emergency settings. Incorporating it into early assessment protocols may aid in risk stratification and clinical decision-making. | ||
| Keywords | ||
| CALLY Index; head trauma; emergency department; prognosis; Glasgow Coma Scale | ||
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