scholarly journals A decision rule with 7 clinical criteria identified patients with minor head injury who did not need computed tomography

2001 ◽  
Vol 6 (2) ◽  
pp. 62-62 ◽  
Author(s):  
R. Bloch
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
Decision Rule ◽  
Minor Head Injury ◽  
Clinical Criteria

scholarly journals CATCH: a clinical decision rule for the use of computed tomography in children with minor head injury

2010 ◽  
Vol 182 (4) ◽  
pp. 341-348 ◽  
Author(s):  
M. H. Osmond ◽  
T. P. Klassen ◽  
G. A. Wells ◽  
R. Correll ◽  
A. Jarvis ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
Decision Rule ◽  
Clinical Decision ◽  
Minor Head Injury ◽  
Clinical Decision Rule

scholarly journals Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department

2018 ◽  
Vol 190 (27) ◽  
pp. E816-E822 ◽  
Author(s):  
Martin H. Osmond ◽  
Terry P. Klassen ◽  
George A. Wells ◽  
Jennifer Davidson ◽  
Rhonda Correll ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Head Injury ◽  
Decision Rule ◽  
Clinical Decision ◽  
Minor Head Injury ◽  
Clinical Decision Rule

Prediction of intracranial computed tomography findings in patients with minor head injury by using logistic regression

2009 ◽  
Vol 111 (4) ◽  
pp. 688-694 ◽  
Author(s):  
Soheil Saadat ◽  
Seyed Mohammad Ghodsi ◽  
Kourosh Holakouie Naieni ◽  
Kavous Firouznia ◽  
Mostafa Hosseini ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Developing Countries ◽  
Logistic Regression ◽  
Head Injury ◽  
Decision Rule ◽  
Minor Head Injury ◽  
Brain Ct ◽  
Blunt Head Trauma ◽  
Gcs Score ◽  
The Impact

Object The aim of this study was to develop a decision rule for physicians in developing countries to identify patients with minor head injury who will benefit from emergency brain CT scanning. Methods Three hundred eighteen patients with a history of blunt head trauma and a Glasgow Coma Scale (GCS) score ≥ 13 who had presented within 12 hours of trauma underwent nonenhanced brain CT and were included in this prospective study. Computed tomography findings that necessitated neurosurgical care (either observation or intervention) were considered as positive findings. Logistic regression was used to develop the decision rule. Results Computed tomography scans were always normal in patients < 65 years old who did not have an obvious head wound, a raccoon sign, vomiting, memory deficit, or a decrease in their GCS score. Patients with 1 major criterion (GCS score < 14, raccoon sign, failure to remember the impact, age > 65 years, or vomiting) or 2 minor criteria (wound at the scalp or GCS score < 15) had an abnormal CT scan in 13% of the cases. Conclusions The decision rule developed by the authors appears to be 100% sensitive and 46% specific for positive findings on brain CT and will, in developing countries, help clarify the decision to obtain scans.

Computed Tomography for Minor Head Injury

2016 ◽  
Author(s):  
Christoph I. Lee
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
New Orleans ◽  
Clinical Findings ◽  
Minor Head Injury ◽  
Ct Scans ◽  
Clinical Implications ◽  
Clinical Context ◽  
Additional Information ◽  
Study Methodology

This chapter, found in the headache section of the book, provides a succinct synopsis of a key study examining the use of computed tomography (CT) scans for minor head injury using the New Orleans criteria. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study showed that head CT scans for patients with minor head injury can be safely limited to those presenting with at least 1 of 7 specific clinical findings. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.

Indications for Brain Computed Tomography and Hospital Admission in Pediatric Patients with Minor Head Injury: How Much Can We Rely upon Clinical Findings?

2009 ◽  
Vol 45 (4) ◽  
pp. 262-270 ◽  
Author(s):  
Ahmet G&uuml;zel ◽  
Tufan Hi&ccedil;d&ouml;nmez ◽  
Osman Temiz&ouml;z ◽  
Burhan Aksu ◽  
Hakan Aylan&ccedil; ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
Hospital Admission ◽  
Pediatric Patients ◽  
Clinical Findings ◽  
Minor Head Injury ◽  
Brain Computed Tomography

Understanding Overuse of Computed Tomography for Minor Head Injury in the Emergency Department: A Triangulated Qualitative Study

2015 ◽  
Vol 22 (12) ◽  
pp. 1474-1483 ◽  
Author(s):  
Edward R. Melnick ◽  
Katherine Shafer ◽  
Nayeli Rodulfo ◽  
Joyce Shi ◽  
Erik P. Hess ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Head Injury ◽  
Qualitative Study ◽  
Minor Head Injury
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