作者
Kelly A Foks, Crispijn L van den Brand, Hester F Lingsma, Joukje van der Naalt, Bram Jacobs, Eline De Jong, Hugo F Den Boogert, Özcan Sir, Peter Patka, Suzanne Polinder, Menno I Gaakeer, Charlotte E Schutte, Kim E Jie, Huib F Visee, Myriam GM Hunink, Eef Reijners, Meriam Braaksma, Guus G Schoonman, Ewout W Steyerberg, Korné Jellema, Diederik WJ Dippel
发表日期
2018/8/24
期刊
bmj
卷号
362
出版商
British Medical Journal Publishing Group
简介
Objective
To externally validate four commonly used rules in computed tomography (CT) for minor head injury.
Design
Prospective, multicentre cohort study.
Setting
Three university and six non-university hospitals in the Netherlands.
Participants
Consecutive adult patients aged 16 years and over who presented with minor head injury at the emergency department with a Glasgow coma scale score of 13-15 between March 2015 and December 2016.
Main outcome measures
The primary outcome was any intracranial traumatic finding on CT; the secondary outcome was a potential neurosurgical lesion on CT, which was defined as an intracranial traumatic finding on CT that could lead to a neurosurgical intervention or death. The sensitivity, specificity, and clinical usefulness (defined as net proportional benefit, a weighted sum of true positive classifications) of the four CT decision rules. The rules included the CT in …
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KA Foks, CL van den Brand, HF Lingsma… - bmj, 2018