Original contributionIs routine computed tomography scanning too expensive for mild head injury?
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Cited by (90)
Understanding the Value of Repeat Head CT in Elderly Trauma Patients on Anticoagulant or Antiplatelet Therapy
2018, Journal of the American College of RadiologyCitation Excerpt :Existing literature examining the cost-effectiveness of CT in the setting of mild trauma has reached varying conclusions. A 1991 study of adults with minor head trauma found that head CTs made little difference in outcomes [8], although a separate study published in the same year determined that loss of consciousness or posttraumatic amnesia justified head CT from a cost-effectiveness point of view [9]. A more recent study found that awaiting clinical deterioration in patients with mild traumatic brain injury whose initial CT revealed intracranial injury is not cost-effective compared with routine follow-up CT, but the value declined significantly in older populations [10].
Clinical Decision Instruments for CT Scan in Minor Head Trauma
2008, Journal of Emergency MedicineCitation Excerpt :One additional risk factor was present in 15 of our patients presenting with loss of consciousness, of a confirmatory nature, and 2 of these patients presented with isolated loss of consciousness, CT scan being normal in both. In the literature, in contrast to our study, Stein et al. suggested that CT scan should be performed in all patients with minor head injury and loss of consciousness (13). Similar to our study, Gomez et al. and Falamirski et al. reported that loss of consciousness did not indicate severe head trauma and did not, on its own, indicate the need for CT scan (14,15).
The use of head CT scan in adult trauma victims: an algorithm
2006, Annales de ChirurgieThe value of cranial computed tomography in high-risk, mildly head-injured patients
2006, Surgical NeurologyNeuroimaging in traumatic brain imaging
2005, NeuroRxCT scan in minor head injury: A guide for rural doctors
2004, Journal of Clinical Neuroscience