作者
Ian G Stiell, George A Wells, Katherine Vandemheen, Catherine Clement, Howard Lesiuk, Andreas Laupacis, R Douglas McKnight, Richard Verbeek, Robert Brison, Daniel Cass, Mary A Eisenhauer, Gary H Greenberg, James Worthington
发表日期
2001/5/5
期刊
The Lancet
卷号
357
期号
9266
页码范围
1391-1396
出版商
Elsevier
简介
Background
There is much controversy about the use of computed tomography (CT) for patients with minor head injury. We aimed to develop a highly sensitive clinical decision rule for use of CT 2in patients with minor head injuries.
Methods
We carried out this prospective cohort study in the emergency departments of ten large Canadian hospitals and included consecutive adults who presented with a Glasgow Coma Scale (GCS) score of 13–15 after head injury. We did standardised clinical assessments before the CT scan. The main outcome measures were need for neurological intervention and clinically important brain injury on CT.
Findings
The 3121 patients had the following characteristics: mean age 38·7 years); GCS scores of 13 (3·5%), 14 (16·7%), 15 (79·8%); 8% had clinically important brain injury; and 1% required neurological intervention. We derived a CT head rule which consists of five high-risk factors …
引用总数
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