کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2152669 1090130 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Indications for CT scanning in minor head injuries: A review
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی تحقیقات سرطان
پیش نمایش صفحه اول مقاله
Indications for CT scanning in minor head injuries: A review
چکیده انگلیسی

Background and objectiveTo determine indications for performing head CT following minor head injuries, which allow reducing number of imaging.Materials and methodsBased on 15 articles dedicated to this topic, the clinical decision rules were systematically analysed.ResultsThe Canadian Computed Tomography Head Rule was found to be the most reliable instrument meeting these criteria, characterised by excellent sensitivity of 100% and fairly good specificity of 48–77%. Remaining scales, although very sensitive, showed poor ability to reduce number of “unnecessary” CT scans. Features most predictive for intracranial injuries included: disorientation, abnormal alertness, somnolentia and neurological deficits. Patients with no loss of consciousness and in normal physical condition need only clinical assessment. Indications to head CT scanning are determined by decision rules presented in the article.ConclusionUse of clinical decision rules may have effect on reducing number of head CT scanning performed “just in a case”.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Neurologia i Neurochirurgia Polska - Volume 49, Issue 1, January–February 2015, Pages 52–57
نویسندگان
,