Clinical decision instruments for CT scan in minor head trauma

The Journal of Emergency Medicine
Süleyman TürediMustafa Yandi

Abstract

Previous studies have presented conflicting results regarding the predictive value of various clinical symptoms and signs for performing computed tomography (CT) scan in minor head injury. Moreover, despite the presence in the literature of several similar publications regarding whether or not CT should be employed at the time of presentation of minor head injured patients, data regarding delayed CT are limited. The objective of this study was to determine whether high-risk criteria represent a significant indication for initial CT scan in patients with minor head trauma, and whether or not analysis using delayed CT scan is necessary in patients with high-risk criteria before being discharged. Patients presenting to the Emergency Department with minor head trauma between September 1, 2003 and September 1, 2004 were evaluated prospectively. After being divided into two main groups, low- and high-risk, four separate sub-groups based on age were established. Initial spiral CT examination was done within 3 h of trauma on all patients in addition to a delayed control CT scan in those with high-risk criteria between 16 and 24 h after trauma. The difference between the high- and low-risk groups in terms of abnormal CT findings was sta...Continue Reading

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Citations

Dec 25, 2013·Emergency Medicine International·Serkan Emre ErogluCıgdem Ozpolat
Jul 18, 2014·Iranian Red Crescent Medical Journal·Sanaz Zargar Balaye JameHojjat Rahmani
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