Routine serial computed tomographic scans in mild traumatic brain injury: When are they cost-effective?

Journal of Trauma - Injury, Infection and Critical Care

Volumn 65, Issue 1, 2008, Pages 66-72

  Stein, Sherman C ^a   Fabbri, Andrea ^b   Servadei, Franco ^c  

^a HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^b MORGAGNI PIERANTONI HOSPITAL   (Italy)

^c BUFALINI HOSPITAL   (Italy)

Author keywords

Cranial computed tomography scan; Serial computed tomography studies; Mild traumatic brain injury

Indexed keywords

ADULT; AGED; ANALYTIC METHOD; ARTICLE; BRAIN DISEASE; CALCULATION; CLINICAL ASSESSMENT; COMPARATIVE STUDY; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DATA BASE; DETERIORATION; FOLLOW UP; HOSPITAL ADMISSION; HUMAN; MEDICAL EXAMINATION; MEDICAL INFORMATION; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PROBABILITY; TRAUMATIC BRAIN INJURY; AGE; BRAIN INJURY; COST BENEFIT ANALYSIS; CRANIOTOMY; DECISION SUPPORT SYSTEM; DIAGNOSTIC TEST; ECONOMICS; GLASGOW COMA SCALE; MIDDLE AGED; PREDICTION AND FORECASTING; RADIOGRAPHY;

ADULT; AGE FACTORS; AGED, 80 AND OVER; BRAIN INJURIES; COST-BENEFIT ANALYSIS; CRANIOTOMY; DECISION SUPPORT TECHNIQUES; DIAGNOSTIC TESTS, ROUTINE; GLASGOW COMA SCALE; HUMANS; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 67649964986     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e318068d75f     Document Type: Article

References (53)

1. 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.
2. Chao A, Pearl J, Perdue P, et al. Utility of routine serial computed tomography for blunt intracranial injury. J Trauma. 2001;51:870-875; discussion 875-876.
3. Dharap SB, Khandkar AA, Pandey A, et al. Repeat CT scan in closed head injury. Injury. 2005;36:412-416.
4. Kaups KL, Davis JW, Parks SN. Routinely repeated computed tomography after blunt head trauma: does it benefit patients? J Trauma. 2004;56:475-480; discussion 480-471.
5. Lee TT, Aldana PR, Kirton OC, et al. Follow-up computerized tomography (CT) scans in moderate and severe head injuries: correlation with Glasgow Coma Scores (GCS), and complication rate. Acta Neurochir (Wien). 1997;139:1042-1047, discussion 1047-1048.
6. 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.
7. Sifri ZC, Livingston DH, Lavery RF, et al. Value of repeat cranial computed axial tomography scanning in patients with minimal head injury. Am J Surg. 2004;187:338-342.
8. Sifri ZC, Homnick AT, Vaynman A, et al. A prospective evaluation of the value of repeat cranial computed tomography in patients with minimal head injury and an intracranial bleed. J Trauma. 2006; 61:862-867.
9. Velmahos GC, Gervasini A, Petrovick L, et al. Routine repeat head CT for minimal head injury is unnecessary. J Trauma. 2006;60:494-501.
10. Wang MC, Linnau KF, Tirschwell DL, et al. Utility of repeat head computed tomography after blunt head trauma: a systematic review. J Trauma. 2006;61:226-233.
11. Stein SC, Burnett MG, Glick HA. Indications for CT scanning in mild traumatic brain injury: a cost-effectiveness study. J Trauma. 2006;61:558-566.
12. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2:81-84.
13. Sox HC, Blatt MA, Higgins MC, et al. Medical Decision Making. Burlington, MA: Butterworth-Heinemann; 1988.
14. Jennett B, Bond M. Assessment of outcome after severe brain damage. Lancet. 1975;1:480-484.
15. Fabbri A, Servadei F, Marchesini G, et al. Clinical performance of NICE recommendations versus NCWFNS proposal in patients with mild head injury. J Neurotrauma. 2005;22:1419-1427.
16. Arias E. United States life tables, 2001. Natl Vital Stat Rep. 2004; 52:1-38.
17. Strauss DJ, Shavelle RM, Ashwal S. Life expectancy and median survival time in the permanent vegetative state. Pediatr Neurol. 1999;21:626-631.
18. Shavelle RM, Strauss D, Whyte J, et al. Long-term causes of death after traumatic brain injury. Am J Phys Med Rehabil. 2001;80:510-516; quiz 517-519.
19. Brown AW, Leibson CL, Malec JF, et al. Long-term survival after traumatic brain injury: a population-based analysis. NeuroRehabilitation. 2004;19:37-43.
20. Harrison-Felix C, Whiteneck G, DeVivo M, et al. Mortality following rehabilitation in the traumatic brain injury model systems of care. NeuroRehabilitation. 2004;19:45-54.
21. Services CfMaM. Acute inpatient prospective payment system. Data files for final notice for fiscal year 2005. Available at: http://www.cms.hhs.gov/ AcuteInpatientPPS/01-overview.asp. Accessed March 7, 2006.
22. BDO. A report on shortfalls in medicaid funding for nursing home care. 2003. Available at: http://www.ahca.org/brief/seidmanstudy0312.pdf. Accessed March 7, 2006.
23. Gold M, Siegel J, Russell L, et al. Cost-Effectiveness In Health and Medicine. New York: Oxford University Press; 1996.
24. Einarson TR. Pharmacoeconomic applications of meta-analysis for single groups using antifungal onychomycosis lacquers as an example. Clin Ther. 1997;19:559-569; discussion 538-559.
25. King JT Jr, Berlin JA, Flamm ES. Morbidity and mortality from elective surgery for asymptomatic, unruptured, intracranial aneurysms: a meta-analysis. J Neurosurg. 1994;81:837-842.
26. Aoki N, Kitahara T, Fukui T, et al. Management of unruptured intracranial aneurysm in Japan: a Markovian decision analysis with utility measurements based on the Glasgow Outcome Scale. Med Decis Making. 1998;18:357-364.
27. Kuday C, Uzan M, Hanci M. Statistical analysis of the factors affecting the outcome of extradural haematomas: 115 cases. Acta Neurochir (Wien). 1994;131:203-206.
28. Lee EJ, Hung YC, Wang LC, et al. Factors influencing the functional outcome of patients with acute epidural hematomas: analysis of 200 patients undergoing surgery. J Trauma. 1998; 45:946-952.
29. Miller JD, Murray LS, Teasdale GM. Development of a traumatic intracranial hematoma after a "minor" head injury. Neurosurgery. 1990;27:669-673.
30. Mohanty A, Kolluri VR, Subbakrishna DK, et al. Prognosis of extradural haematomas in children. Pediatr Neurosurg. 1995;23:57-63.
31. Rivas JJ, Lobato RD, Sarabia R, et al. Extradural hematoma: analysis of factors influencing the courses of 161 patients. Neurosurgery. 1988;23:44-51.
32. Servadei F, Vergoni G, Staffa G, et al. Extradural haematomas: how many deaths can be avoided? Protocol for early detection of haematoma in minor head injuries. Acta Neurochir (Wien). 1995; 133:50-55.
33. Stein SC, Spettell C, Young G, et al. Delayed and progressive brain injury in closed-head trauma: radiological demonstration. Neurosurgery. 1993;32:25-30; discussion 30-31.
34. Concato J, Feinstein AR. Monte Carlo methods in clinical research: applications in multivariable analysis. J Investig Med. 1997;45:394-400.
35. Chapman RH, Berger M, Weinstein MC, et al. When does qualityadjusting life-years matter in cost-effectiveness analysis? Health Econ. 2004;13:429-436.
36. Drummond MF, O'Brien BJ, Stoddart GL, et al. Presentation and Use of Economic Evaluation and Results. Methods for the Economic Evaluation of Health Care Programmes. Oxford: Oxford University Press; 1997;265-292.
37. Laupacis A, Feeny D, Detsky AS, et al. How attractive does a new technology have to be to warrant adoption and utilization? Tentative guidelines for using clinical and economic evaluations. CMAJ. 1992; 146:473-481.
38. Schackman BR, Gold HT, Stone PW, et al. How often do sensitivity analyses for economic parameters change cost-utility analysis conclusions? Pharmacoeconomics. 2004;22:293-300.
39. Ubel PA, Hirth RA, Chernew ME, et al. What is the price of life and why doesn't it increase at the rate of inflation? Arch Intern Med. 2003;163:1637-1641.
40. Durham SR, Liu KC, Selden NR. Utility of serial computed tomography imaging in pediatric patients with head trauma. J Neurosurg. 2006;(Suppl 5) 105:365-369.
41. Feldman KW, Brewer DK, Shaw DW. Evolution of the cranial computed tomography scan in child abuse. Child Abuse Negl. 1995; 19:307-314.
42. Givner A, Gurney J, O'Connor D, et al. Reimaging in pediatric neurotrauma: factors associated with progression of intracranial injury. J Pediatr Surg. 2002;37:381-385.
43. Stein SC, Doolin EJ. Management of minor head injury in children and adolescents. Pediatr Surg Int. 1995;10:265-271.
44. Stein SC, Spettell CM. Delayed and progressive brain injury in children and adolescents with head trauma. Pediatr Neurosurg. 1995; 23:299-304.
45. Brenner D, Elliston C, Hall E, et al. Estimated risks of radiationinduced fatal cancer from pediatric CT. AJR Am J Roentgenol. 2001; 176:289-296.
46. Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation NRC. Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2. Washington, D.C.: National Academies Press; 2005.
47. Lobato RD, Gomez PA, Alday R, et al. Sequential computerized tomography changes and related final outcome in severe head injury patients. Acta Neurochir (Wien). 1997;139:385-391.
48. Stammler U, Frowein RA. Repeated early CT examinations in traumatic intracranial hematomas and in closed head injuries. Neurosurg Rev. 1989;12 (Suppl 1):159-168.
49. Itshayek E, Rosenthal G, Fraifeld S, et al. Delayed posttraumatic acute subdural hematoma in elderly patients on anticoagulation. Neurosurgery. 2006;58:E851-E856; discussion E851-E856.
50. Stein SC. Minor head injury: 13 is an unlucky number. J Trauma. 2001;50:759-760.
51. Smits M, Dippel DW, de Haan GG, et al. External validation of the Canadian CT Head Rule and the New Orleans Criteria for CT scanning in patients with minor head injury. JAMA. 2005;294:1519-1525.
52. Stiell IG, Clement CM, Rowe BH, et al. Comparison of the Canadian CT Head Rule and the New Orleans Criteria in patients with minor head injury. JAMA. 2005;294:1511-1518.
53. Stiell IG, Lesiuk H, Wells GA, et al. The Canadian CT Head Rule Study for patients with minor head injury: rationale, objectives, and methodology for phase I (derivation). Ann Emerg Med. 2001; 38:160-169.