Comparison of the Canadian CT head rule and the new orleans criteria in patients with minor head injury

Kavalcı, Cemil; Aksel, Gökhan; Salt, Ömer; Yılmaz, Muhittin; Demir, Adem; Kavalcı, Gülsüm; Ozel, Betul Akbuga; Altınbilek, Ertuğrul; Durdu, Tamer; Yel, Cihat; Durukan, Polat; Işık, Bahattin

doi:10.1186/1749-7922-9-31

Cited by 37 publications

(28 citation statements)

References 15 publications

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“…Kavalci et al [14,15] and Durdu et al [16] reported that the most common trauma mechanism was motor vehicle accident. Our study also found that out-of-vehicle traffic accident was the most common cause of head trauma.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the correlation between blood glucose level and prognosis in patients younger than 18 years of age who had head trauma

et al. 2015

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ObjectiveTo analyze the correlation between early-term blood glucose level and prognosis in patients with isolated head trauma.MethodsThis study included a total of 100 patients younger than 18 years of age who had isolated head trauma. The admission blood glucose levels of these patients were measured. Age at the time of the incident, sex, mode of occurrence of the trauma, computed tomography findings, and GCSs were recorded. Kruskall Wallis test was used compare of groups. A p value less than 0.05 was considered statistically significant.ResultsThe median age of the study population was 7 years and the median GCS was 11. There was a significant negative correlation between blood glucose level and GCS (p < 0.05). A significant correlation in the negative direction was observed between GCS and blood glucose level (r = −0.658, p < 0.05). Seventy-seven percent of the patients were admitted to hospital, while 6% died in ED.ConclusionThe results of the present study suggest that hyperglycemia at an early stage and a low GCS may be reliable predictors of the severity of head trauma and prognosis. A higher blood glucose level may be an ominous sign that predicts a poor prognosis and an increased risk of death.

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Section: Discussionmentioning

confidence: 99%

Analysis of the correlation between blood glucose level and prognosis in patients younger than 18 years of age who had head trauma

et al. 2015

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“…40,55,56 Although only some of these rules were fully validated, as outlined previously, most comparative analyses have shown very little difference among them in terms of predictive value. [57][58][59][60][61][62][63] Those that reported important differences tend to be small series. It should be noted that relatively large populations are needed to fairly compare rule application in cases in which intracranial lesions with clinical impact are so uncommon.…”

Section: Neurosurgical Clinical Prediction and Decision Rulesmentioning

confidence: 90%

Clinical Prediction and Decision Rules in Neurosurgery

Stein

Attiah

2015

Neurosurgery

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Clinical prediction and decision rules use evidence-based medicine to assist clinicians in diagnosing and treating illness. Although widespread in modern medical practice, there are relatively few clinical rules for neurosurgical conditions. This article reviews the background of how clinical prediction and decision rules are derived, validated, evaluated, and used in practice. It also summarizes a list of clinical rules published for neurosurgical illnesses and analyzes each rule for how it was derived and whether it was validated and/or evaluated compared with similar rules. It reports on whether the implementation of each rule was studied and grades the overall quality of each report.

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“…3 There is debate on the indication of CT scan, however in Pakistan most hospitals perform CT scan in patients having mild or moderate traumatic brain injury. 18,19,20 In our center the neurosurgery residents and neurosurgeons order CT scans for all the patients having symptoms of neurological injury, cerebral edema, bleeding from orifices such as ears, oral and nasal cavity, GCS score less than 15 at the time of arrival with an additional sign and symptom of traumatic brain injury.…”

Section: Discussionmentioning

confidence: 99%

Incidence of progressive hemorrhagic injury in patients presenting with traumatic brain injury at a large tertiary care hospital in Karachi, Pakistan. A Case Series.

Zeeshan¹,

Kumar²,

Rehmani³

et al. 2020

TPMJ

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Objectives: Our study aims to determine the frequency of progressive hemorrhagic injury as observed on the CT scan from the initial scan performed at the time of presentation to a subsequent one in the 12 hours after the initial scan. Study Design: The type of study is a prospective observational case series. Setting: At Tertiary Care Hospital in Karachi, Pakistan. Period: 3 months from June 2018 to August 2018. Materials & Methods: All patients over 18 years of age who presented to the Accident and Emergency Department of the hospital with traumatic brain injury and had a CT scan performed within four hours of the injury were included in the study. A predesigned proforma was used to note down patient findings. CT scan findings were classified as subdural hematoma (SDH), intraparenchymal contusion (IPC) extradural hematoma (EDH) and subarachnoid hemorrhage (SAH). A repeat CT scan was performed twelve hours after the initial CT scan. Data were analyzed using IBM SPSS version 20.0, mean and frequencies were calculated for continuous variables while frequencies and percentages were calculated for categorical variables. Results: Of the n= 110 patients in our study 79 were males and 31 were female, the mean age of the patients was 34.25 years. The Glasgow Coma Scale scores at the time of arrival were between thirteen and fifteen for n= 33 (30%) of the patients, between nine and twelve for n= 54 (49.09%) of the patients, less than and equal to eight for n= 23 (20.90%) of the patients. Subarachnoid hemorrhage was present in n= 32 (29.09%) patients, intraparenchymal hematoma was present in n= 42 (38.18%) of the patients, while subdural hematoma and epidural hematoma was present in n= 14 (12.72%) and n= 22 (20%) of the patients respectively. Progressive hemorrhagic injury was found in n= 66 (60%) of the patients, while in n= 11 (10%) of the patients there was resolution of the lesion and n= 33 (33%) of the patients showed no observable changes in the repeat CT scan. Finally, our results indicate that of the 110 patients in our study PHI was seen in n= 17 (53.12%) patients with SAH, n= 18 (81.81%) patients of EDH, n= 5 (35.71%) patients of SDH and n= 26 (61.90%) patients of IPC respectively. Conclusion: According to the results of our study PHI is observed in 60% of the patients with a traumatic brain injury observed within the initial 12 hours after injury, and epidural hematoma and intraparenchymal contusions had the highest incidences of PHI among all the different types of traumatic brain injuries.

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Comparison of the Canadian CT head rule and the new orleans criteria in patients with minor head injury

Cited by 37 publications

References 15 publications

Analysis of the correlation between blood glucose level and prognosis in patients younger than 18 years of age who had head trauma

Analysis of the correlation between blood glucose level and prognosis in patients younger than 18 years of age who had head trauma

Clinical Prediction and Decision Rules in Neurosurgery

Incidence of progressive hemorrhagic injury in patients presenting with traumatic brain injury at a large tertiary care hospital in Karachi, Pakistan. A Case Series.

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