Minor Head Injury: Guidelines for the Use of CT—A Multicenter Validation Study

Smits, Marion; Dippel, Diederik W.J.; Haan, G; Dekker, Helena M.; Vos, Pieter E.; Kool, Digna R.; Nederkoorn, Paul J.; Hofman, Paul; Twijnstra, A.; Tanghe, H. L. J.; Hunink, M. G. Myriam

doi:10.1148/radiol.2452061509

Cited by 79 publications

(71 citation statements)

References 27 publications

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“…Therefore, this group of patients was classified as high-risk mild head injury, and they were considered having the same risk as patients with a GCS score of 13 or 14 [11,21]. However, other investigators said that serious abnormal CT scan was acute lesion that needs for surgery [2,8,20,27]. Thus, not all acute abnormal CT was considered serious and not all abnormal CT scan should be identified and treated regardless of the need for surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The second end point may be the most important for physician especially working in remote area, that their ultimate concern is not to identify those with abnormal CT scan, but rather to detect those patients who need acute surgical intervention [20,25]. From a neurosurgical perspective, the goal of any protocol for management of mild head injury is to identify significant surgical traumatic lesions and to evacuate these before clinical deterioration occurs [16,27,30]. Thus, surgical lesion is an absolute indicator of seriousness of injury.…”

Section: Discussionmentioning

confidence: 99%

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Two Different Approaches in Obtaining Head Computerized Tomography Scan in Minor Head Injuries

Golden

2013

J Neurol Res

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Background: The management of minor head injury (GCS score of 15) especially in the use of computed tomography (CT) scan is still controversial. As a big and developing country, Indonesia faced some problems in the management of minor head injuries. Those problems were limited number of CT scan, big number of minor head injured patients assessed in emergency unit and far distance between small cities and referral centers. This study was aimed to provide different approaches in obtaining CT scan in this group of patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Two Different Approaches in Obtaining Head Computerized Tomography Scan in Minor Head Injuries

Golden

2013

J Neurol Res

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“…The design and patient characteristics of the 19 studies (representing 22 articles) 26,27,29,46,[54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71] that evaluated the diagnostic performance of clinical decision rules for identifying ICI or need for neurosurgery in adults with MHI are summarised in Table 2. Eight studies were from the USA, 27,29,55,58,59,61,62,64 two each from Italy, 54,57,71 Canada 26,46 and the Islamic Republic of Iran, 66,67 and one each from the Netherlands, [68][69][70] Australia, 65 Japan, 63 Spain 60 and Denmark.…”

Section: Clinical Decision Rules Description Of Included Studies Adultsmentioning

confidence: 99%

“…Eight studies were from the USA, 27,29,55,58,59,61,62,64 two each from Italy, 54,57,71 Canada 26,46 and the Islamic Republic of Iran, 66,67 and one each from the Netherlands, [68][69][70] Australia, 65 Japan, 63 Spain 60 and Denmark. 56 Six were multicentre studies.…”

Section: Clinical Decision Rules Description Of Included Studies Adultsmentioning

confidence: 99%

Diagnostic management strategies for adults and children with minor head injury: a systematic review and an economic evaluation

Pandor

Goodacre²,

Harnan³

et al. 2011

Health Technol Assess

110

114

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTADiagnostic management strategies for adults and children with minor head injury: a systematic review and an economic evaluation NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA...

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“…2002 -2005 m. vykdyta prospektyvinė randomizuota Kanados uždaros galvos traumos taisyklių įgyvendinimo studija 12-oje Kanados skubios pagalbos centrų, apimant [23], specifiškumas mažas ir pacientų skaičius, kuriems reikalinga atlikti galvos smegenų KT, labai didelis. Atsirado publikacijos, kuriose kalbama apie neribotą KT taikymą ir padidėjusių piktybinių ligų, susijusių su radiacija, riziką [24].…”

Section: Sveikatos Mokslai / Health Sciences In Eastern Europeunclassified

Dažnai tiems patiems pacientams atliekamų galvos smegenų kompiuterinės tomografijos tyrimų priežastys

2015

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Raktažodžiai: kompiuterinė tomografija, traukulinis sindromas, galvos smegenų trauma, galvos smegenų kraujotakos sutrikimai, galvos smegenų navikinis procesas. SantraukaStraipsnyje pateikiamos dažniausios galvos smegenų kompiuterinės tomografijos (KT) tyrimų, atliktų Lietuvos sveikatos mokslų universiteto ligoninės Kauno klinikų (LSMUL KK) skubiosios pagalbos skyriuje (SPS) tiems patiems pacientams, priežas-tys; šis tyrimas jiems atliekamas dažniau nei vieną kartą per metus. Apžvelgiama literatūra, susijusi su visų pacientų galvos smegenų KT tyrimo atlikimo dažnio mažinimu ir racionalizavimu. Tyrimo tikslas -nustatyti, ar yra ryšys tarp galvos smegenų KT tyrimų dažnio ir priežasčių (indikacijų) bei stacionarizavimo dažnio. Tyrimui atsitiktine tvarka atrinktas 131 pacientas, iš kurių 123 pacientų (830 galvos smegenų KT) duomenys panaudoti tyrime. Statistinio reikšmingumo lygmuo buvo pasirinktas a = 0,05. Galvos smegenų KT tyrimų vidutiniš-kai atlikta po 6,75 (±3,939) vienam žmogui. 52,8 proc. pacientų buvo atlikta daugiau nei 5 KT tyrimai. Dažniausios priežastys: trauma 56,63 proc. ir galvos smegenų kraujotakos sutrikimai 28,55 proc. Statistiškai reikšmingo ryšio tarp SPS atliekamų tyrimų skaičiaus ir stacionarizavimų skaičiaus nėra. Įvadas ir literatūros apžvalgaKompiuterinė tomografija (KT) labai svarbus diagnostikos įrankis. Dažni KT tyrimai sudaro didelę pacientų medicininių tyrimų metu gaunamos jonizuojančios spinduliuotės dalį. Racionalizuojant tyrimų atlikimo dažnį, indikacijas, būtų galima sumažinti pacientų gaunamą apšvitos jonizuojančiąja spinduliuote dozę. Svarbu išsiaiškinti daž-nai atliekamų KT tyrimų priežastis.

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Minor Head Injury: Guidelines for the Use of CT—A Multicenter Validation Study

Abstract: radiology.rsnajnls.org/cgi/content/full/2452061509/DC1 (c) RSNA, 2007.

Cited by 79 publications

References 27 publications

Two Different Approaches in Obtaining Head Computerized Tomography Scan in Minor Head Injuries

Two Different Approaches in Obtaining Head Computerized Tomography Scan in Minor Head Injuries

Diagnostic management strategies for adults and children with minor head injury: a systematic review and an economic evaluation

Dažnai tiems patiems pacientams atliekamų galvos smegenų kompiuterinės tomografijos tyrimų priežastys

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