Two Different Approaches in Obtaining Head Computerized Tomography Scan in Minor Head Injuries

Nyoman Golden, Wayan Niryana, Tjokorda Gde Bagus Mahadewa, Sri Maliawan, Ade Chandra

Abstract


Background: The management of minor head injury (GCS score of 15) especially in the use of computed tomography (CT) scan is still controversial. As a big and developing country, Indonesia faced some problems in the management of minor head injuries. Those problems were limited number of CT scan, big number of minor head injured patients assessed in emergency unit and far distance between small cities and referral centers. This study was aimed to provide different approaches in obtaining CT scan in this group of patients.

Methods: This was a cohort prospective study involving 364 head injured patients with a GCS score of 15, aged over six years. All studied clinical data were recorded and CT scan was obtained. The relationship between the clinical risk factors and the presence of abnormal CT scan (the first end point of this study) and the need for surgery (the second end point) were tested by univariate analysis ((X2-test). Logistic regression analysis was then used to find the best combination of these clinical factors that were highly sensitive to detect abnormal CT scan and the need for surgery.

Results: The incidence of abnormal CT scan and the need for surgery were 13.2% and 3.7% respectively. Loss of consciousness (LOC) (RR 4.84, 95 % CI 1.29 - 18.13), amnesia (RR 4.45, 95% CI 1.86 - 10.68), cranial soft tissue injury (RR 8.56, 95% CI 3.43 - 21.46), skull fracture (RR 6.81, 95% CI 2.04 - 22.77), age > 60 years (RR 5.56, 95% CI 2.09 - 14.77) were significant clinical factors of abnormal CT scan. While amnesia (RR 0.068, 95% CI 0.007 - 0.626), cranial soft tissue injury (RR 0.076, 95% CI 0.009 - 0.647) and skull fracture (RR 0.145, 95% CI 0.035 - 0.607) were significant clinical factors of the need for surgery.

Conclusion: Our recent study provided two different approaches in obtaining head CT scan in minor head injuries, which were dependent on the availability of CT scan and the aim of taking CT scan.




J Neurol Res. 2013;3(3-4):114-121
doi: https://doi.org/10.4021/jnr225w


Keywords


Minor head injury; Risk factors; Abnormal CT scan; The need for surgery

Full Text: HTML PDF
 

Browse  Journals  

 

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

 

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

 

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

 

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

 

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 
       
 

Journal of Neurology Research, biannually, ISSN 1923-2845 (print), 1923-2853 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.neurores.org   editorial contact: editor@neurores.org    elmer.editorial@hotmail.com
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.


Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.