Cerebral Computed Tomography on Patients With Minor Head Injuries

University of Southern Denmark7,106 enrolled

Overview

This observational study aims to calculate the prevalence of conditions or diseases requiring immediate medical attention in CTC scans with an indication of bleeding post trauma performed in the ED at Odense University Hospital. Secondary, we aim to evaluate the Scandinavian Neurotrauma Committee clinical guideline 2013 for minor head injury.

In this retrospective study, our primary objectives are threefold: first, to calculate the prevalence of conditions or diseases requiring immediate medical attention and to subdivide them to explore potential correlations with biochemical, clinical, and patient baseline variables using multiple regression analysis. Secondly, we wanted to analyze our use of SNC CPG and evaluate if a more stringent application could reduce the potentially unnecessary overuse of CTC. Lastly, we aim to evaluate the 30-day mortality and readmission rates to a hospital following CTC performed in the ED.

Study Type

OBSERVATIONAL

Enrollment

7,106

Conditions

Computed Tomography Minor Head Injuries

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * CTCs conducted from 01.01.2023 to 31.12.2023 in the ED Exclusion Criteria: * unrelated to trauma * scans performed on patients under the age of 18 * CTC scans without radiologic interpretation * Previously undergone a CTC during the same hospitalization, only the first CTC was included

Locations (1)

Odense University Hospital

Odense, Region Syddanmark, Denmark

Outcomes

Primary Outcomes

Positive CTC

Calculate the prevalence of positive CTC findings and to subdivide them to explore potential correlations with biochemical, clinical, and patient baseline variables. The CT scan was acknowledged as positive if the final radiologic interpretation of all imaging studies reported one or more listed radiological findings: * Epidural hematoma * Subdural hematoma * Subarachnoid hematoma * Intraparenchymal hematoma (IPH) * Intraventricular hematoma * Fossa posterior hematoma * Acute infarct or dense artery sign * Mass effect or sulcal effacement * Signs of herniation * Basal cistern compression or midline shift * Cerebral contusion * Depressed skull fracture * Diastatic skull fracture * Pneumocephalus * Cerebral edema * Diffuse axonal injury * Tumor * Intracranial infection * Other which resulted in hospitalization

Time frame: 1 year

Secondary Outcomes

Scandinavian Neurotrauma Committee clinical practice guideline evaluation

We wanted to analyze our use of SNC CPG and evaluate if a more stringent application could reduce the potentially unnecessary overuse of CTC

Time frame: 1 year

Data from ClinicalTrials.gov

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