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Emerg Med J 21:420-425 doi:10.1136/emj.2003.011353
  • Original Article

Application of the Canadian CT head rules in managing minor head injuries in a UK emergency department: implications for the implementation of the NICE guidelines

Table 1B

 Comparison of management of minor head injuries in 2001 and 2002: admission/discharge

2001 (7 months) 2002 (9 months) Increase (95% CI)
Numbers refer to MHI patients during the two study periods: in 2001, the RCS guidelines were in operation, and in 2002 the “Cambridge” protocol (a modification of the Canadian CT Rule). The Canadian CT rules were applied to each group to determine how many patients fulfilled the criteria for CT. *p<0.05. Data in parentheses are percentages unless otherwise stated.
Total number of patients admitted for observation 111/330 (34) 119/267 (45) 10.9 (3.1 to 18.8)*
Total number fulfilling criteria admitted 56/330 (17) 68/267 (25) 8.5 (1.9 to 15.1)*
Patients fulfilling criteria, scanned+admitted 27/330 (8.2) 31/267 (12) 3.4 (−8.2 to 14.2)
Patients fulfilling criteria, not scanned+admitted 29/330 (9) 37/267 (14) 5.1 (0.1 to10.2)*
Patients fulfilling criteria, scanned and discharged 10/330 (3) 9/267 (3) 0 (−2.5 to 3.2)
Patients not fulfilling criteria but admitted 63/330 (19) 51/267 (19) 0 (−6.3 to 6.4)

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