Postdeployment traumatic brain injury screening questions: Sensitivity, specificity, and predictive values in returning soldiers.

2011 ◽  
Vol 56 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Heidi P. Terrio ◽  
Lonnie A. Nelson ◽  
Lisa M. Betthauser ◽  
Jeri E. Harwood ◽  
Lisa A. Brenner
Brain Injury ◽  
2015 ◽  
Vol 30 (2) ◽  
pp. 172-178 ◽  
Author(s):  
Shadi Asadollahi ◽  
Kamran Heidari ◽  
Mehrdad Taghizadeh ◽  
Arash Mohammad Seidabadi ◽  
Morteza Jamshidian ◽  
...  

Author(s):  
Caroline Sönnerqvist ◽  
Ole Brus ◽  
Magnus Olivecrona

Abstract Background Head trauma in children is common, with a low rate of clinically important traumatic brain injury. CT scan is the reference standard for diagnosis of traumatic brain injury, of which the increasing use is alarming because of the risk of induction of lethal malignancies. Recently, the Scandinavian Neurotrauma Committee derived new guidelines for the initial management of minor and moderate head trauma. Our aim was to validate these guidelines. Methods We applied the guidelines to a population consisting of children with mild and moderate head trauma, enrolled in the study: “Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study” by Kuppermann et al. (Lancet 374(9696):1160–1170, https://doi.org/10.1016/S0140-6736(09)61558-0, 2009). We calculated the negative predictive values of the guidelines to assess their ability to distinguish children without clinically-important traumatic brain injuries and traumatic brain injuries on CT scans, for whom CT could be omitted. Results We analysed a population of 43,025 children. For clinically-important brain injuries among children with minimal head injuries, the negative predictive value was 99.8% and the rate was 0.15%. For traumatic findings on CT, the negative predictive value was 96.9%. Traumatic finding on CT was detected in 3.1% of children with minimal head injuries who underwent a CT examination, which accounts for 0.45% of all children in this group. Conclusion Children with minimal head injuries can be safely discharged with oral and written instructions. Use of the SNC-G will potentially reduce the use of CT.


PM&R ◽  
2013 ◽  
Vol 5 (3) ◽  
pp. 210-220 ◽  
Author(s):  
Charlesnika T. Evans ◽  
Justin R. St. Andre ◽  
Theresa L.-B. Pape ◽  
Monica L. Steiner ◽  
Kevin T. Stroupe ◽  
...  

2016 ◽  
Vol 97 (10) ◽  
pp. e32
Author(s):  
Amanda Hahn Ketter ◽  
Wayne Gordon ◽  
Lisa Spielman ◽  
Karla Therese Sy ◽  
Bettie Beckworth

2009 ◽  
Vol 24 (1) ◽  
pp. 14-23 ◽  
Author(s):  
Heidi Terrio ◽  
Lisa A. Brenner ◽  
Brian J. Ivins ◽  
John M. Cho ◽  
Katherine Helmick ◽  
...  

2021 ◽  
Vol 2 (1) ◽  
pp. 586-593
Author(s):  
Linda Denise Oakley ◽  
Jeneile Luebke ◽  
Natalie C. Dosch ◽  
Traci R. Snedden ◽  
Hector Hernadez ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Heoung Jin Kim ◽  
Sohyun Eun ◽  
Seo Hee Yoon ◽  
Moon Kyu Kim ◽  
Hyun Soo Chung ◽  
...  

AbstractTo identify a useful non-imaging tool to screen paediatric patients with traumatic brain injury for intracranial haemorrhage (ICH). We retrospectively analysed patients aged < 15 years who visited the emergency department with head trauma between January 2015 and September 2020. We divided patients into two groups (ICH and non-ICH) and compared their demographic and clinical factors. Among 85 patients, 21 and 64 were in the ICH and non-ICH groups, respectively. Age (p = 0.002), Pediatric trauma score (PTS; p < 0.001), seizure (p = 0.042), and fracture (p < 0.001) differed significantly between the two groups. Factors differing significantly between the groups were as follows: age (odds ratio, 0.84, p = 0.004), seizure (4.83, p = 0.013), PTS (0.15, p < 0.001), and fracture (69.3, p < 0.001). Factors with meaningful cut-off values were age (cut-off [sensitivity, specificity], 6.5 [0.688, 0.714], p = 0.003) and PTS [10.5 (0.906, 0.81), p < 0.001]. Based on the previously known value for critical injury (≤ 8 points) and the cut-off value of the PTS identified in this study (≤ 10 points), we divided patients into low-risk, medium-risk, and high-risk groups; their probabilities of ICH (95% confidence intervals) were 0.16–12.74%, 35.86–89.14%, and 100%, respectively. PTS was the only factor that differed significantly between mild and severe ICH cases (p = 0.012). PTS is a useful screening tool with a high predictability for ICH and can help reduce radiation exposure when used to screen patient groups before performing imaging studies.


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