Routine repeat head CT for minimal head injury is unnecessary

Journal of Trauma - Injury, Infection and Critical Care

Volumn 60, Issue 3, 2006, Pages 494-501

  Velmahos, George C ^a,b   Gervasini, Alice ^a   Petrovick, Laurie ^a   Dorer, David J ^a   Doran, Mary E ^a   Spaniolas, Konstantinos ^a   Alam, Hasan B ^a   De Moya, Marc ^a   Borges, Lawrence F ^a   Conn, Alasdair K ^a   Sing, Ronald F ^b   Rhee, Peter M ^b   Davis, Kimberly A ^b   Scaff, David W ^b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b Massachusetts General Hospital ^*

Author keywords

Cat scan; Glasgow Coma Scale; Head injury; Minimal; Repeat

Indexed keywords

ADVERSE DRUG REACTION; ANTICOAGULANT AGENT;

ACCURACY; ADULT; AGED; ARTICLE; BRAIN HEMORRHAGE; COMPUTER ASSISTED TOMOGRAPHY; DETERIORATION; EMERGENCY HEALTH SERVICE; EPIDEMIOLOGY; FEMALE; GLASGOW COMA SCALE; HEAD INJURY; HUMAN; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; NEUROLOGIC EXAMINATION; NEUROSURGERY; PRIORITY JOURNAL; PROGNOSIS; RADIOGRAPHY; RISK FACTOR; ROC CURVE; SENSITIVITY AND SPECIFICITY; STATISTICS; THERAPY; TREATMENT OUTCOME; UNNECESSARY PROCEDURE; URBAN AREA; UTILIZATION REVIEW;

ADULT; ADVERSE EFFECTS; AGED; ANTICOAGULANTS; CEREBRAL HEMORRHAGE, TRAUMATIC; EPIDEMIOLOGY; FEMALE; GLASGOW COMA SCALE; HEAD INJURIES, CLOSED; HUMANS; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; NEUROLOGIC EXAMINATION; PROGNOSIS; RADIOGRAPHY; RISK FACTORS; ROC CURVE; SENSITIVITY AND SPECIFICITY; STATISTICS AND NUMERICAL DATA; THERAPY; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME; UNNECESSARY PROCEDURES; UTILIZATION;

EID: 33645536700     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.ta.0000203546.14824.0d     Document Type: Article

References (10)

1. Insel J, Weissman C, Kemper M, et al. Cardiovascular changes during transport of critically ill and postoperative patients. Crit Care Med. 1986;14:539-542.
2. Kaups KL, Davis JW, Parks SN. Routinely repeated computed tomography after blunt head trauma: Does it benefit patients? J Trauma. 2004;56:475-481.
3. Sifri ZC, Livingston DH, Lavery RF, et al. Value of repeat computed axial tomography scanning in patients with minimal head injury. Am J Surg. 2004;187:338-342.
4. Brown CV, Weng J, Oh D, et al. Does routine serial computed tomography of the head influence management of traumatic brain injury? A prospective evaluation. J Trauma. 2004;57:939-943.
5. Tabori U, Kornecki A, Sofer S, et al. Repeat computed tomographic scan within 24-48 hours of admission in children with moderate and severe head trauma. Crit Care Med. 2000;28:840-844.
6. Figg RY, Burry TS, Vander Kolk WE. Clinical efficacy of serial computed tomographic scanning in severe closed head injury patients. J Trauma. 2003;55:1061-1064.
7. Oertel M, Kelly DF, McArthur D, et al. Progressive hemorrhage after head trauma: predictors and consequences of the evolving injury. J Neurosurg. 2002;96:109-916.
8. Sakai H, Takagi H, Ohtaka H, Tanabe T, Ohwada T, Yada K. Serial changes in acute extradural hematoma size and associated changes in level of consciousness and intracranial pressure. J Neurosurg. 1988;8:566-570.
9. Sullivan TP, Jarvik JG, Cohen WA. Follow-up of conservatively managed epidural hematomas: implications for timing of repeat CT. Am J Neuroradiol. 1999;20:107-113.
10. Dharap SB, Khandkar AA, Pandey A, Sharma AK. Repeat CT scan in closed head injury. Injury. 2005;36:412-416.