Use of an accident and emergency department observation ward in the management of head injury

Brown, Anthony; Wilkes, Garry J; Myers, Colin T; MacLaren, Robert

doi:10.1002/bjs.1800800858

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Except for nausea and vomiting, there was no difference in admission policy between different hospital levels. I has been demonstrated, that the use of guidelines much alike the above-mentioned, may result in substantial economic savings [4,6]. Thus it can be anticipated that the implementation of the guidelines might hold the possibility of nationwide substantial economic savings.…”

Section: Discussionmentioning

confidence: 97%

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An audit on guidelines used for the initial management of patients with minor head injuries in Denmark

Duus

1997

Acta neurochir

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The purpose of this quality assurance study was to compare the practice used in the management of patients with minor head injuries (MHI) in Denmark with guidelines recommended by Danish neurosurgeons and analyse differences between hospitals in the treatment of patients with MHI. All 68 accident and emergency departments in Denmark covering a population of 5,146,000 inhabitants and 895,000 attenders received a questionnaire containing questions about epidemiological data, the clinical practice and the use of skull x-ray. Ninety-four per cent of the hospitals responded. The number of patients admitted per 100,000 inhabitants per year was the same (mean 235) in large and small hospitals, but in the small hospitals significantly more patients per 100,000 attenders per year were admitted (p < 0.05). More than 80% of the hospitals recommended admission if the patient reported unconsciousness, significant headache, dizziness or nausea and vomiting. Symptoms found at the examination in the A & E department had high priority in the decision to admit patients in more than 90% of the hospitals. Skull x-ray was always used in only 2/64 hospitals. The compliance with guidelines give by Danish neurosurgeons was unsatisfactory as far as the symptoms in the history were concerned.

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Section: Discussionmentioning

confidence: 97%

“…Several studies have recommended that a head injury information sheet should be given to all patients discharged from the A & E department [1,4,21,26], this was the case in only half of the Danish hospitals, significantly more often in the large hospitals, where the A & E department was run by orthopaedic surgeons.…”

Section: Discussionmentioning

confidence: 99%

An audit on guidelines used for the initial management of patients with minor head injuries in Denmark

Duus

1997

Acta neurochir

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Role of the short stay observation ward in accident and emergency departments in the United Kingdom.

Goodacre

1998

Emergency Medicine Journal

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Use of an accident and emergency department observation ward in the management of head injury

Abstract: SirMr Pollock's Review in this issue (Br J Surg 1993; 80: 964-6) makes

Cited by 2 publications

References 6 publications

An audit on guidelines used for the initial management of patients with minor head injuries in Denmark

An audit on guidelines used for the initial management of patients with minor head injuries in Denmark

Role of the short stay observation ward in accident and emergency departments in the United Kingdom.

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