Table 3

Compliance with NICE guidelines for the intended use of CT scanning

Indication for CT from NICE guidelineProportion of hospitals compliant (%)
Suspicion of fracture or tense fontanelle97
Any sign of basal skull fracture97
Focal neurological deficit97
H/O post-traumatic seizure96
Local protocol present specifying when to CT90
Presence of abnormal drowsiness88
H/O LOC87
Dangerous mechanism of injury80
Coagulopathy and LOC/amnesia79
3+ episodes of vomiting75
Clinical suspicion of NAI as cause of head injury74
GCS <1474
<1 year of age and GCS <1572
H/O amnesia >5 min64
<1 year and bruise/lac >5 cm63
  • GCS, Glasgow Coma Scale; H/O, History of; LOC, loss of consciousness; NAI, non-accidental injury.