期刊文献+

Repeat cranial tomography in patients with mild head injury and stable neurological examination - a perspective from a developing country 被引量:1

Repeat cranial tomography in patients with mild head injury and stable neurological examination - a perspective from a developing country
原文传递
导出
摘要 Objective: To determine the frequency of altered findings on repeat cranial tomography (CT) in patients with mild head injury along with stable neurological examination at tertiary care hospital.Methods: Cross-sectional study was done in the Department of Radiology, Liaquat National Hospital, Karachi from January 2008 to September 2010. All patients with mild head injury in terms of Glasgow Coma Scale (GCS) who underwent repeat scan without clinical or neurological deterioration in the emergency department of a tertiary care centre were included. The collected data were accordingly entered and analyzed by the principal investigator using Statistical Package for Social Sciences (SPSS) version 16.0.Results: In all 275 patients, only 17 (6%) of the patients were found worseing on repeat CT, 120 (43.63%)scans improved, 138 (50.18%) unchanged and 17 (6.18%)worsened. None of these patients showed signs of clinical deterioration.Conclusion: Our results suggest that for patients with mild head injury and stable neurological examination, only 6% of them show deterioration on repeat CT, especially when patients' GCS is below 13.
出处 《Chinese Journal of Traumatology》 CAS 2011年第5期297-300,共4页 中华创伤杂志(英文版)
关键词 Brain injuries Neurologic examination Glasgow coma scale TOMOGRAPHY 神经系统 颅脑损伤 断层扫描 发展中国家 患者 检查 稳定 统计软件包
  • 相关文献

参考文献26

  • 1Valadka A.Injury to the Cranium.In Mattox K,Feliciano D,Moore E,ed.Trauma.4th edition.Stamford:Appleton & Lange,2000;377-398.
  • 2Marik PE,Varon J,Trask T.Management of head trauma.Chest 2002; 122(2):699-711.
  • 3Jager TE,Weiss HB,Coben JH,et al.Traumatic brain injuries evaluated in US emergency departments,1992-1994.Acad Emerg Med 2000;7(2):134-140.
  • 4Sifri ZC,Livingston DH,Lavery RF,et al.Value of repeat cranial computed axial tomography scanning in patients with minimal head injury.Am J Surg 2004;187(3):338-342.
  • 5Rehabilitation for traumatic brain injury in children and adolescents.Summary:evidence report/technology assessment.[Online].[Updated 1998].Rockville (MD):Agency for Health Care Policy and Research.http://www.ahrq.gov/clinic/epcsums/tbisum2.htm.
  • 6Livingston DH,Loder PA,Koziol J,et al.The use of CT scanning to triage patients requiring admission following minimal head injury.J Trauma 1991 ;31 (4):483-487.
  • 7Livingston DH,Lavery RF,Passannante MC,et al.Emergency department discharge of patients with a negative cranial computed tomography scan after minimal head injury.Ann Surg 2000;232(1):126-132.
  • 8Tabori U,Kornecki A,Sofer S,et al.Repeat computed tomographic scan within 24-48 hours of admission in children with moderate and severe head trauma.Crit Care Med 2000;28 (3):840-844.
  • 9Roberson FC,Kishore PR,Miller JD,et al.The value of serial computerized tomography in the management of severe head injury.Surg Neurol 1979;12(2):161-167.
  • 10.Cope DN,Date ES,Mar EY.Serial computed tomographic evaluations in traumatic head injury.Arch Phys Med Rehabil 1988;69(7):483-486.

同被引文献4

二级引证文献17

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部