ArticleJournal of emergencies, trauma, and shock
Computed Tomography Profile and its Utilization in Head Injury Patients in Emergency Department: A Prospective Observational Study.
Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Demonstrating the use of population level data to investigate trends in the rate, radiation dose and cost of Computed Tomography across clinical groups: Are there any areas of concern?Journal of medical radiation sciences · 2025Observational
- Validation of the Scandinavian neurotrauma committee guidelines - A retrospective study in region Örebro county.Brain & spine · 2025Article
- A comparison of performance between a deep learning model with residents for localization and classification of intracranial hemorrhage.Scientific reports · 2023Article
- Examining four blood biomarkers for the detection of acute intracranial abnormalities following mild traumatic brain injury in older adults.Frontiers in neurology · 2022Article
- Whats New in Emergencies, Trauma and Shock? Computed Tomography Profile and its Utilization in Traumatic Brain Injury.Journal of emergencies, trauma, and shockArticle
- Computed Tomographic Imaging Appraisal of Traumatic Brain Injury in a Tertiary Hospital in South-South Nigeria: A 6-Year Review.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextBased on Glasgow Coma Scale (GCS), head injury can be classified as minor (GCS 13-15), moderate (GCS 9-12), and severe (GCS 3-8). There is a lot of controversy in the use of computed tomography (CT) in head injury patients.
aimsThis study was intended to estimate the rate of CT positivity in head injury patients and to define the criteria for doing CT in head injury patients. SETTINGS AND
designThis was a prospective observational study in the emergency department (ED) over a 12-month period. Subjects and.
methodsStudy involved all head injury patients attending ED. Risk factors studied were a loss of consciousness (LOC), vomiting, seizures, ear bleed, nosebleed, external injuries, and alcohol intoxication. STATISTICAL ANALYSIS USED: Comparison of CT positivity with the patient's demographics and clinical characteristics was carried out using Chi-square.
resultsA total of 1782 patients were included in this study. Overall CT positivity was 50.9%. In minor head injury (MHI), CT positivity rate was 38%. The study showed significant association of CT positivity with five variables: LOC >5 min, vomiting, seizures, ear bleed, and nosebleed.
conclusionsFrom the study, we recommend following: CT is indicated in all patients with moderate and severe head injury (GCS ≤12). Low threshold for taking CT is advisable in elderly and alcohol-intoxicated patients. In MHI, CT is indicated if any one of the following risk factors are present: LOC >5 min, history of vomiting, history of seizures, history of ear bleed, and history of nosebleed.
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