ArticleCureus2020
Rate of Intracranial Hemorrhage After Minor Head Injury.
Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Risk factors for traumatic intracranial hemorrhage in mild traumatic brain injury patients at the emergency department: a systematic review and meta-analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Pooled it
- Management of Adult Closed Head Injury in Rural Queensland Without Hospital-Based CT: A Retrospective Cohort Study.Emergency medicine Australasia : EMA · 2026Article
- Real-World Integration of an Automated Tool for Intracranial Hemorrhage Detection in an Unselected Cohort of Emergency Department Patients-An External Validation Study.Diagnostics (Basel, Switzerland) · 2026Article
- National survey of current practices and attitudes regarding discharge disposition for older adults with mild traumatic brain injury and traumatic intracranial hemorrhage.Acta neurologica Belgica · 2025Article
- 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 · 2025Article
- Safety of early chemoprophylaxis in traumatic brain injury patients.Surgical neurology international · 2025Article
- Article
- Diagnostic Accuracy and Performance Analysis of a Scanner-Integrated Artificial Intelligence Model for the Detection of Intracranial Hemorrhages in a Traumatology Emergency Department.Bioengineering (Basel, Switzerland) · 2023Article
- Fluid-Based Protein Biomarkers in Traumatic Brain Injury: The View from the Bedside.International journal of molecular sciences · 2023Review
- Maximizing the Clinical Value of Blood-Based Biomarkers for Mild Traumatic Brain Injury.Diagnostics (Basel, Switzerland) · 2023Review
- Radiological features of brain hemorrhage through automated segmentation from computed tomography in stroke and traumatic brain injury.Frontiers in neurology · 2023Article
- A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part I.Revista da Associacao Medica Brasileira (1992) · 2023Article
- Transorbital penetrating cerebellar injury in a 10-year-old girl.Radiology case reports · 2022Article
- Computational Approaches for Acute Traumatic Brain Injury Image Recognition.Frontiers in neurology · 2022Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionComputed tomography scans of the head (CTH) are an important component of the initial patient evaluation after blunt head trauma in select patients. Here we review findings of CTH performed for mild traumatic brain injury (TBI) at a Level I trauma center over a two-year period. We subsequently discuss the role and limitations of published clinical decision rules aiming to decrease unnecessary CTH in mild TBI patients.
methodsWe reviewed all Emergency Department CTH obtained after blunt head trauma between 2010 and 2011. Patient demographics and radiology report texts were collected. Reports were cross-referenced with our institutional trauma database to obtain initial Glasgow Coma Scale (GCS). Mild TBI was defined by an initial GCS 13-15 with or without loss of consciousness or post-traumatic amnesia.
resultsThere were 5,634 mild TBI patients evaluated with CTH. A total of 477 scans (8.5%) were positive for intracranial hemorrhage. Of these, 188 (39.4%) showed more than one type of intracranial hemorrhage. The most common findings were subdural hematomas (262, 4.7% of scans), traumatic subarachnoid hemorrhages (252, 4.5% of scans), and cerebral contusions/intraparenchymal hematomas (212, 3.8% of scans). Older age (p<0.001) and male gender (p<0.001) were associated with positive CTH.
conclusionsThe rate of positive CTH in mild TBI patients in our population falls within a historical range. The clinical and medicolegal implications of missed intracranial hemorrhage have remained important factors limiting the implementation of clinical decision rules in screening mild TBI patients for CTH.
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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.