THE ROLE OF NEUROIMAGING IN THE INITIAL MANAGEMENT OF PATIENTS WITH MINOR HEAD-INJURY

被引：28

作者：

DUUS, BR ^{[1
]}

LIND, B ^{[1
]}

CHRISTENSEN, H ^{[1
]}

NIELSEN, OA ^{[1
]}

机构：

[1] UNIV COPENHAGEN,CTY HOSP,DEPT ORTHOPAED SURG,DK-2600 GLOSTRUP,DENMARK

来源：

ANNALS OF EMERGENCY MEDICINE | 1994年 / 23卷 / 06期

关键词：

D O I：

10.1016/S0196-0644(94)70352-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To determine whether omitting neuroimaging in the primary assessment of patients with minor head injuries in the emergency department 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 ED after 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 had been 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.

引用

页码：1279 / 1283

页数：5

共 22 条

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