A prospective clinical study of routine repeat computed tomography (CT) after traumatic brain injury (TBI)

Brain Injury : [BI]
Jun DingHeng-Li Tian

Abstract

To discuss the repeated CT scanning in patients with traumatic brain injury (TBI) and to identify the conditions under which this approach is necessary. One hundred and seventy-one patients who suffered TBI but were not surgically treated were divided into two groups: the routine-repeat CT group (n = 89) and the non-routine-repeat CT group (n = 82). The patients' clinical characteristics were compared. T-tests and stepwise logistic regression were used for analysis. Patients in the routine-repeat CT group were divided into three groups according to GCS scores to determine the need for routinely repeated CT scans. The results revealed statistically significant differences between the two groups in terms of neuro-ICU-LOS and LOS (p < 0.01). No significant differences emerged with respect to hospital charges and GCS scores at discharge (p > 0.05). AGE, international normalized ratio (INR), D-dimer concentration (DD), GCS scores and number of hours between the first CT scan and the injury (HCT1) were influential factors of developing progressive haemorrhage. The routine-repeat CT group fared better than did the non-routine-repeat CT group. Routinely repeated CTs were minimally effective among those with mild TBI, whereas this proce...Continue Reading

References

Apr 1, 2000·The Journal of Trauma·N Y PatelA W Mikulaschek
Jan 17, 2002·Journal of Neurosurgery·Matthias OertelNeil A Martin
Dec 17, 2003·The Journal of Trauma·Ryan E FiggWayne E Vander Kolk
Mar 10, 2004·American Journal of Surgery·Ziad C SifriCarl J Hauser
May 7, 2004·The Journal of Trauma·Krista L KaupsSteven N Parks
Mar 15, 2006·The Journal of Trauma·George C VelmahosAlasdair K Conn
Aug 21, 2007·Surgical Neurology·Heng-Li TianLiang-Fu Zhou
May 22, 2008·Journal of Neurotrauma·Raj K NarayanUNKNOWN Traumatic Intracerebral Hemorrhage Study Group

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Citations

Mar 11, 2015·Journal of Neurotrauma·Arnold TóthSteven A Robicsek
Sep 4, 2013·Clinical Neurology and Neurosurgery·Jun DingHeng-Li Tian
Sep 25, 2014·Arquivos de neuro-psiquiatria·Jun DingHengli Tian
Mar 17, 2018·Journal of Neurosurgery·Raghu SamalaGuru Dutta Satyarthee
Apr 1, 2014·Korean Journal of Neurotrauma·Dong-Seong ShinWon-Han Shin
Jan 21, 2016·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Mohammed BasamhJudith Marcoux
Nov 20, 2016·Korean Journal of Neurotrauma·Young Ha JeongUNKNOWN Korean Trauma Data Bank System Committee
Nov 17, 2019·Journal of Clinical Medicine·Anna AntoniStefan Hajdu
Mar 16, 2017·Brain Injury : [BI]·Maud StenbergBritt-Marie Stålnacke
Nov 22, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Mohammad Ahmad Jamous

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