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Overuse of CT for Minor Head Trauma Patients: A Retrospective Analysis from Poland and Lithuania Trauma Centres.
Medicina (Kaunas)
November 2024
Emergency Medicine Department, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
: Head trauma is one of many conditions that trauma centres deal with daily. This study aimed to analyse the utilisation of head CT scans for patients with minor head trauma in two major hospitals in Lithuania and Poland. : We conducted a retrospective, descriptive study of CT utilisation in minor head trauma patients presenting to the Level 1 trauma centre Hospital of the Lithuanian University of Health Sciences Kaunas Clinics (HLUHS KC) and Jan Biziel University Hospital in Bydgoszcz emergency departments (EDs), during the study period from 01 February to 30 April 2023.
View Article and Find Full Text PDFThe role of secondary imaging in children aged under 24 months with proven skull fracture on initial computed tomography scan.
Neurosurg Rev
September 2024
Department of Pediatric Neurosurgery, Takatsuki General Hospital, 1-3-13 Kosobecho, Takatsuki City, Osaka, Japan.
Article Synopsis
- The study focused on children under 24 months with minor head trauma who had repeated imaging to assess the need for follow-up after an initial CT scan, following PECARN guidelines.
- Out of 741 enrolled children, 36 had additional intracranial injuries noted on MRI, even after being classified as having isolated skull fractures (SF) in their initial CT scans.
- Findings showed that certain factors, like subcutaneous hematoma and the nature of skull fractures, were linked to new intracranial injuries, suggesting that some kids with SF may not need surgery if there's no active intracranial injury on the first CT scan.
A challenging decision for emergency physicians: Routine repeat computed brain tomography of the brain in head trauma in infants and neonates.
Ulus Travma Acil Cerrahi Derg
August 2024
Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz-Poland.
Background: Head trauma is a leading cause of death and disability. While standard treatment protocols exist for severe head trauma, no clear follow-up standards are available for mild head trauma with positive imaging findings in infants and newborns. Although routine follow-up brain computed tomography (CT) imaging is not recommended for children with moderate and mild head trauma, the necessity for follow-up imaging in infants and newborns remains uncertain.
View Article and Find Full Text PDFValidation of the Scandinavian guidelines for minor and moderate head trauma in children: protocol for a pragmatic, prospective, observational, multicentre cohort study.
BMJ Open
April 2024
Department of Operation and Intensive Care, Halland Hospital Halmstad, Region Halland, Halmstad, Sweden.
Introduction: Mild traumatic brain injury is common in children and it can be challenging to accurately identify those in need of urgent medical intervention. The Scandinavian guidelines for management of minor and moderate head trauma in children, the Scandinavian Neurotrauma Committee guideline 2016 (SNC16), were developed to aid in risk stratification and decision-making in Scandinavian emergency departments (EDs). This guideline has been validated externally with encouraging results, but internal validation in the intended healthcare system is warranted prior to broad clinical implementation.
View Article and Find Full Text PDFIncidence of intraoperative hypotension and its factors among adult traumatic head injury patients in comprehensive specialized hospitals, Northwest Ethiopia: a multicenter observational study.
BMC Anesthesiol
April 2024
Department of Anesthesia, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Introduction: Traumatic head injury (THI) poses a significant global public health burden, often contributing to mortality and disability. Intraoperative hypotension (IH) during emergency neurosurgery for THI can adversely affect perioperative outcomes, and understanding associated risk factors is essential for prevention.
Method: A multi-center observational study was conducted from February 10 to June 30, 2022.
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