Evidence map›Paper›PMID 27041385›Full record

ArticleInternal and emergency medicine2017

Utility of repeat head computed tomography after mild head trauma: influence on short- and long-term prognosis and health-related quality of life.

Francesca Innocenti, Beatrice Del Taglia, Irene Tassinari, Federica Trausi, Alberto Conti, Maurizio Zanobetti, Riccardo Pini

Abstract read
PubMed Publisher
In one paragraph

Article in Internal and emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Hospital admission of older patients with mild traumatic brain injury and traumatic intracranial hemorrhage: is it always necessary?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Francesca InnocentiHigh-Dependency Unit, Department of Clinical and Experimental Medicine, Azienda Ospedaliero-Universitaria Careggi, Francesca Innocenti, Lg. Brambilla 3, 50134, Florence, Italy. innocentif@aou-careggi.toscana.it.
Beatrice Del TagliaHigh-Dependency Unit, Department of Clinical and Experimental Medicine, Azienda Ospedaliero-Universitaria Careggi, Francesca Innocenti, Lg. Brambilla 3, 50134, Florence, Italy.
Irene TassinariHigh-Dependency Unit, Department of Clinical and Experimental Medicine, Azienda Ospedaliero-Universitaria Careggi, Francesca Innocenti, Lg. Brambilla 3, 50134, Florence, Italy.
Federica TrausiHigh-Dependency Unit, Department of Clinical and Experimental Medicine, Azienda Ospedaliero-Universitaria Careggi, Francesca Innocenti, Lg. Brambilla 3, 50134, Florence, Italy.
Alberto ContiHigh-Dependency Unit, Department of Clinical and Experimental Medicine, Azienda Ospedaliero-Universitaria Careggi, Francesca Innocenti, Lg. Brambilla 3, 50134, Florence, Italy.
Maurizio ZanobettiHigh-Dependency Unit, Department of Clinical and Experimental Medicine, Azienda Ospedaliero-Universitaria Careggi, Francesca Innocenti, Lg. Brambilla 3, 50134, Florence, Italy.
Riccardo PiniHigh-Dependency Unit, Department of Clinical and Experimental Medicine, Azienda Ospedaliero-Universitaria Careggi, Francesca Innocenti, Lg. Brambilla 3, 50134, Florence, Italy.
Azienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to investigate the utility of repeat head CT in a large population of patients with non-isolated blunt mild head trauma (MTBI), especially in the presence of intracranial injury. This is a study of a cohort of 478 non-isolated MTBI patients admitted to the High Dependency Unit of the Emergency Department of the University-Hospital of Florence from July 2008 to December 2013. Results of initial and subsequent head CT scans, and indications for repeat head CT scan (routine vs. neurologic change) were recorded. The study population was divided into two subgroups: 28 (6 %) patients with neurological change or persistently reduced GCS (group GCS-) and 450 (94 %) patients with normal or improving GCS (group GCS+). After 6 months from the event, a telephone interview using SF12 questionnaire was conducted. Among GCS- patients, the admission CT scan showed intracranial lesions (ICI) in 16 (57 %) patients; only two patients had a TBI-related neurosurgical intervention. Among GCS+ patients, the first CT scan showed an ICI in 133 patients; in a significant proportion of patients with ICI at the first CT scan, the injury worsened (40/133, 30 %, p < 0.0001). However, no GCS+ patient had any neurosurgical intervention. We observed a significant reduction in both MCS and PCS scores after the injury compared with the previous period. The number of repeat CT scan was high in patients who presented ICI at the first CT scan; however, no patient with ICI and normal or improving GCS score needed a neurosurgical intervention.

Indexed as

AdultAgedEmergency Service, HospitalFemaleGlasgow Coma ScaleHeadHead Injuries, ClosedHealth StatusHumansItalyLogistic ModelsMaleMiddle AgedPrognosisQuality of LifeSurveys and QuestionnairesHealth-related quality of lifeIntracranial lesionsMild traumatic brain injuryPrognosisRepeat head CT scan

Identifiers

PMID27041385
OpenAlexW2345844822

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.