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Titolo:
THE ROLE OF NEUROIMAGING IN THE INITIAL MANAGEMENT OF PATIENTS WITH MINOR HEAD-INJURY
Autore:
DUUS BR; LIND B; CHRISTENSEN H; NIELSEN OA;
Indirizzi:
WILLEMOESGADE 39 3TV COPENHAGEN 0 DENMARK UNIV COPENHAGEN,CTY HOSP,DEPT ORTHOPAED SURG DK-2600 GLOSTRUP DENMARK
Titolo Testata:
Annals of emergency medicine
fascicolo: 6, volume: 23, anno: 1994,
pagine: 1279 - 1283
SICI:
0196-0644(1994)23:6<1279:TRONIT>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
B.R. Duus et al., "THE ROLE OF NEUROIMAGING IN THE INITIAL MANAGEMENT OF PATIENTS WITH MINOR HEAD-INJURY", Annals of emergency medicine, 23(6), 1994, pp. 1279-1283

Abstract

Study objective: To determine whether omitting neuroimaging in the primary assessment of patients with minor head injuries in the emergencydepartment is safe. Design: Prospective cohort study. Setting: University hospital, Copenhagen County Hospital, Glostrup, Denmark. Participants: The study group consisted of 2,204 patients presenting to the EDafter sustaining minor head injuries. Only patients able to talk and walk were included. Measurements and main results: The decision to admit was based exclusively on clinical guidelines in which the findings in the ED were of highest priority. Seven patients (0.3%) had a skull radiograph; computed tomography was not used in the primary evaluation. Four hundred thirty patients (1 9.5%) were admitted. After hospitalization, four patients developed intracranial complications. One required surgery, two required hyerventilation, and one was observed. Follow-up demonstrated that no patient with an intracranial complication hadbeen missed. Conclusion: We found it safe to exclude neuroimaging in the primary assessment of patients with minor head injuries in the ED,and to rely instead on clinical criteria.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/12/20 alle ore 15:39:29