Computed Tomography, Minor Head Injuries
Conditions
Keywords
Emergency Department, S100B, Scandinavian Neurotrauma Committee Guideline, Traumatic Brain Injuries
Brief summary
This observational study aims to calculate the prevalence of conditions or diseases requiring immediate medical attention in CTC scans with an indication of bleeding post trauma performed in the ED at Odense University Hospital. Secondary, we aim to evaluate the Scandinavian Neurotrauma Committee clinical guideline 2013 for minor head injury.
Detailed description
In this retrospective study, our primary objectives are threefold: first, to calculate the prevalence of conditions or diseases requiring immediate medical attention and to subdivide them to explore potential correlations with biochemical, clinical, and patient baseline variables using multiple regression analysis. Secondly, we wanted to analyze our use of SNC CPG and evaluate if a more stringent application could reduce the potentially unnecessary overuse of CTC. Lastly, we aim to evaluate the 30-day mortality and readmission rates to a hospital following CTC performed in the ED.
Interventions
None listed
Sponsors
University of Southern Denmark
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* CTCs conducted from 01.01.2023 to 31.12.2023 in the ED
Exclusion criteria
* unrelated to trauma * scans performed on patients under the age of 18 * CTC scans without radiologic interpretation * Previously undergone a CTC during the same hospitalization, only the first CTC was included
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Positive CTC | 1 year | Calculate the prevalence of positive CTC findings and to subdivide them to explore potential correlations with biochemical, clinical, and patient baseline variables. The CT scan was acknowledged as positive if the final radiologic interpretation of all imaging studies reported one or more listed radiological findings: * Epidural hematoma * Subdural hematoma * Subarachnoid hematoma * Intraparenchymal hematoma (IPH) * Intraventricular hematoma * Fossa posterior hematoma * Acute infarct or dense artery sign * Mass effect or sulcal effacement * Signs of herniation * Basal cistern compression or midline shift * Cerebral contusion * Depressed skull fracture * Diastatic skull fracture * Pneumocephalus * Cerebral edema * Diffuse axonal injury * Tumor * Intracranial infection * Other which resulted in hospitalization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Scandinavian Neurotrauma Committee clinical practice guideline evaluation | 1 year | We wanted to analyze our use of SNC CPG and evaluate if a more stringent application could reduce the potentially unnecessary overuse of CTC |
Other
| Measure | Time frame | Description |
|---|---|---|
| 30-day mortality and readmission rate | 1 year | We aim to evaluate the 30-day mortality and readmission rates to a hospital following CTC performed in the ED. |
| Neurological intervention | 1 year | The need for neurological intervention was defined as within 7 days requiring 1) neurosurgical intervention (e.g., craniotomy, hematoma evacuation, elevation of skull fracture, intracranial pressure monitoring, or intubation for head injuries indicated on CT) or 2) neuroradiological intervention (e.g., thrombectomy or intravascular embolization). |
Countries
Denmark
Outcome results
None listed