Prediction of intracranial computed tomography findings in patients with minor head injury by using logistic regression
- 1 October 2009
- journal article
- Published by Journal of Neurosurgery Publishing Group (JNSPG) in Journal of Neurosurgery
- Vol. 111 (4), 688-694
- https://doi.org/10.3171/2009.2.jns08909
Abstract
Object The aim of this study was to develop a decision rule for physicians in developing countries to identify patients with minor head injury who will benefit from emergency brain CT scanning. Methods Three hundred eighteen patients with a history of blunt head trauma and a Glasgow Coma Scale (GCS) score ≥ 13 who had presented within 12 hours of trauma underwent nonenhanced brain CT and were included in this prospective study. Computed tomography findings that necessitated neurosurgical care (either observation or intervention) were considered as positive findings. Logistic regression was used to develop the decision rule. Results Computed tomography scans were always normal in patients < 65 years old who did not have an obvious head wound, a raccoon sign, vomiting, memory deficit, or a decrease in their GCS score. Patients with 1 major criterion (GCS score < 14, raccoon sign, failure to remember the impact, age > 65 years, or vomiting) or 2 minor criteria (wound at the scalp or GCS score < 15) had an ab...Keywords
This publication has 19 references indexed in Scilit:
- Clinical Features of Head Injury Patients Presenting With a Glasgow Coma Scale Score of 15 and Who Require Neurosurgical InterventionAnnals of Emergency Medicine, 2006
- Epidemiology of blunt head injury victims undergoing ED cranial computed tomographic scanningThe American Journal of Emergency Medicine, 2006
- Clinical Decision Instruments for CT Scanning in Minor Head InjuryPublished by American Medical Association (AMA) ,2005
- External Validation of the Canadian CT Head Rule and the New Orleans Criteria for CT Scanning in Patients With Minor Head InjuryJAMA, 2005
- Comparison of the Canadian CT Head Rule and the New Orleans Criteria in Patients With Minor Head InjuryJAMA, 2005
- CT scan in minor head injury: a guide for rural doctorsJournal of Clinical Neuroscience, 2004
- The application of North American CT scan criteria to an Australian population with minor head injuryEmergency Medicine, 2004
- Artificial Neural Network Predicts CT Scan Abnormalities in Pediatric Patients with Closed Head InjuryJournal Of Trauma-Injury Infection and Critical Care, 2001
- Indications for Computed Tomography in Patients with Minor Head InjuryNew England Journal of Medicine, 2000
- THE CLINICAL UTILITY OF COMPUTED TOMOGRAPHIC SCANNING AND NEUROLOGIC EXAMINATION IN THE MANAGEMENT OF PATIENTS WITH MINOR HEAD INJURIESJournal Of Trauma-Injury Infection and Critical Care, 1992