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CT head imaging in patients with head injury who present after 24 h of injury: a retrospective cohort study
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  • Published on:
    In response to the e-letter "An interesting study of the wrong cohort"

    Many thanks for your interest in our study.

    We agree that as a retrospective study that compares head injured patients presenting within and after 24 hours of injury that have undergone CT imaging our study does have limitations. However, there are currently few data to guide clinicians in this area. We found only 2 other retrospective cohort studies and an abstract that assessed such patients in a recently pu...

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    Conflict of Interest:
    None declared.
  • Published on:
    An interesting study of the wrong cohort

    I thank the authors for highlighting an ongoing concern I have with NICE head injury guidance - namely that the guidance is based on studies of acute head injuries presenting soon after injury and doesn't take delayed presentations into account. However my concern would be the reverse of their own as I feel if we adhered to NICE guidance in patients presenting after 24 hours we would be performing large numbers of unnece...

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    Conflict of Interest:
    None declared.