Mild head injury ? mortality and complication rate: meta-analysis of findings in a systematic literature review

Geijerstam, J-L af; Britton, Michael M.

doi:10.1007/s00701-003-0115-1

Cited by 106 publications

(50 citation statements)

References 50 publications

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“…In a Swedish study from 1998 the proportion of patients with mild TBI who underwent a CT scan was reported to vary from a few percent to 80%-on average, 22% (Borg et al, 2000). Several studies have proposed that the early use of a CT scan after mild TBI instead of in-hospital observation saves costs (Stein et al, 1991;Ingebrigtsen and Romner, 1996;Borg et al, 2000;Af Geijerstam and Britton, 2003). However, even though most patients with mild TBI have normal CT findings, every clinician should be aware that there will always be a few patients who can develop hemorrhagic lesions (Borg et al, 2000).…”

Section: Epidemiology Of Brain Injuriesmentioning

confidence: 99%

See 1 more Smart Citation

Traumatic Brain Injuries in a Well-Defined Population: Epidemiological Aspects and Severity

Styrke

Stålnacke

Sojka

et al. 2007

Journal of Neurotrauma

166

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The aim was to describe epidemiological and medical aspects of 449 cases of traumatic brain injury (TBI) from a well-defined geographical area with a population of 137,000 inhabitants. An episode of disturbed consciousness was a prerequisite for inclusion in the study. The incidence of TBI was 354/100,000 inhabitants. Median age was 23 years, range 0-91 years; 55% were men and 45% were women; 33% children 0-14 years, 50% adults 15-64 years, and 17% elderly persons 65-91 years old. Severity classification was based on Glasgow Coma Scale (GCS) on arrival; mild TBI 97% (GCS 13-15), moderate 1% (GCS 9-12), and severe 2% (GCS 3-8). The most common injury events were falls (55%) and vehicle-related events (30%). The percentage of falls was high among children and elderly persons but among adults vehicle-related injury events were also prominent. At least 17% of all patients were under the influence of alcohol, especially adult male bicyclists. CT was performed on 163 cases (36%) revealing 34 cases with intracranial hemorrhage (ICH) which is 21% of the examined or 8% of all the injured. The rate of ICH increased with increasing age (from 3% among children to 17% among the elderly persons) and also increased with decreasing GCS from 6% in the group of mild TBI to 60% among those with severe TBI. Attention should be directed to acute management of mild TBI in order to detect potentially dangerous ICH as well as to preventive actions against falls and vehicle related accidents.

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Section: Epidemiology Of Brain Injuriesmentioning

confidence: 99%

“…In a meta-analysis of epidemiological high-quality studies of mild TBI, Af Geijerstam and Britton (2003) concluded that about 8% of the patients will show pathological findings on CT and about 1% will require surgery. Thus, TBI classified as mild may have serious, sometimes life-threatening, complications.…”

Section: Epidemiology Of Brain Injuriesmentioning

confidence: 99%

Traumatic Brain Injuries in a Well-Defined Population: Epidemiological Aspects and Severity

Styrke

Stålnacke

Sojka

et al. 2007

Journal of Neurotrauma

166

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“…Tačiau komplikacijos, kurios būdingos ūminei traumai, lengvos galvos smegenų traumos atveju yra santykinai retos -intrakranijinių pažei-dimų rizika apie 10% [15] (sumušimas, subdūrinė ar epidūrinė hematomos, smegenų patinimas, subarachnoidinė hemoragija). 1% nustatytų pakitimų reikalauja neurochirurginio gydymo [15][16][17][18], mirtingumas tarp suaugusiųjų 0,1 % ir dar mažesnis tarp vaikų [19][20].…”

Section: Sveikatos Mokslai / Health Sciences In Eastern Europeunclassified

Dažnai tiems patiems pacientams atliekamų galvos smegenų kompiuterinės tomografijos tyrimų priežastys

2015

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Raktažodžiai: kompiuterinė tomografija, traukulinis sindromas, galvos smegenų trauma, galvos smegenų kraujotakos sutrikimai, galvos smegenų navikinis procesas. SantraukaStraipsnyje pateikiamos dažniausios galvos smegenų kompiuterinės tomografijos (KT) tyrimų, atliktų Lietuvos sveikatos mokslų universiteto ligoninės Kauno klinikų (LSMUL KK) skubiosios pagalbos skyriuje (SPS) tiems patiems pacientams, priežas-tys; šis tyrimas jiems atliekamas dažniau nei vieną kartą per metus. Apžvelgiama literatūra, susijusi su visų pacientų galvos smegenų KT tyrimo atlikimo dažnio mažinimu ir racionalizavimu. Tyrimo tikslas -nustatyti, ar yra ryšys tarp galvos smegenų KT tyrimų dažnio ir priežasčių (indikacijų) bei stacionarizavimo dažnio. Tyrimui atsitiktine tvarka atrinktas 131 pacientas, iš kurių 123 pacientų (830 galvos smegenų KT) duomenys panaudoti tyrime. Statistinio reikšmingumo lygmuo buvo pasirinktas a = 0,05. Galvos smegenų KT tyrimų vidutiniš-kai atlikta po 6,75 (±3,939) vienam žmogui. 52,8 proc. pacientų buvo atlikta daugiau nei 5 KT tyrimai. Dažniausios priežastys: trauma 56,63 proc. ir galvos smegenų kraujotakos sutrikimai 28,55 proc. Statistiškai reikšmingo ryšio tarp SPS atliekamų tyrimų skaičiaus ir stacionarizavimų skaičiaus nėra. Įvadas ir literatūros apžvalgaKompiuterinė tomografija (KT) labai svarbus diagnostikos įrankis. Dažni KT tyrimai sudaro didelę pacientų medicininių tyrimų metu gaunamos jonizuojančios spinduliuotės dalį. Racionalizuojant tyrimų atlikimo dažnį, indikacijas, būtų galima sumažinti pacientų gaunamą apšvitos jonizuojančiąja spinduliuote dozę. Svarbu išsiaiškinti daž-nai atliekamų KT tyrimų priežastis.

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“…[6][7][8][9][10][11][12] With the advent of routine head CT scanning of virtually all patients with head injury, it has become clear that a substantial number (6%-10%) of patients with minor head injury have evidence of neurocranial traumatic complications. [13][14][15][16][17][18] Functional outcome in these patients with so-called "complicated" minor head injury has been shown to be significantly poorer than that in patients without neurocranial traumatic complications after minor head injury. 19,20 Long-term outcome in terms of functional disability or postconcussive symptoms in patients with complicated minor head injury specifically, however, is still largely unknown.…”

mentioning

confidence: 99%

Outcome after Complicated Minor Head Injury

Smits

Hunink²,

Rijssel³

et al. 2007

AJNR Am J Neuroradiol

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Mild head injury ? mortality and complication rate: meta-analysis of findings in a systematic literature review

Abstract: Of 1000 patients arriving at hospital with mild head injury, 1 will die, 9 will require surgery or other intervention, and about 80 will show pathological findings on CT. At least these 8% of patients will probably need in-hospital care.

Cited by 106 publications

References 50 publications

Traumatic Brain Injuries in a Well-Defined Population: Epidemiological Aspects and Severity

Traumatic Brain Injuries in a Well-Defined Population: Epidemiological Aspects and Severity

Dažnai tiems patiems pacientams atliekamų galvos smegenų kompiuterinės tomografijos tyrimų priežastys

Outcome after Complicated Minor Head Injury

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