New guidelines for the initial management of head injury
نویسندگان
چکیده
The majority of patients presenting with mild head trauma will have no intracranial pathology and can be safely discharged home. It is estimated that 10% to 15% of these patients will have clinically significant findings on computed tomography imaging and up to 1% may require neurosurgical intervention. The revised Scandinavian Head Trauma Guidelines provide an evidence- and consensus-based algorithm to assist physicians in determining which patients presenting with minimal, mild or moderate blunt head injury are at higher risk for intracranial pathology and thus require neuroimaging and hospital admission. Striking a balance between health care costs and risk of morbidity remains an ongoing challenge and we will present our concerns with this useful, but conservative management algorithm.
منابع مشابه
Scandinavian guidelines for initial management of minor and moderate head trauma in children
BACKGROUND The management of minor and moderate head trauma in children differs widely between countries. Presently, there are no existing guidelines for management of these children in Scandinavia. The purpose of this study was to produce new evidence-based guidelines for the initial management of head trauma in the paediatric population in Scandinavia. The primary aim was to detect all childr...
متن کاملGuidelines for initial management after head injury in adults. Suggestions from a group of neurosurgeons.
متن کامل
Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: an evidence and consensus-based update
BACKGROUND The management of minimal, mild and moderate head injuries is still controversial. In 2000, the Scandinavian Neurotrauma Committee (SNC) presented evidence-based guidelines for initial management of these injuries. Since then, considerable new evidence has emerged. METHODS General methodology according to the Appraisal of Guidelines for Research and Evaluation (AGREE) II framework ...
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متن کاملValidation of the Scandinavian guidelines for initial management of minimal, mild and moderate traumatic brain injury in adults.
BACKGROUND Acute management of traumatic brain injury (TBI), in particular mild TBI, focuses on the detection of the 5-7 % who may be harboring potentially life-threatening intracranial hemorrhage (IH) using CT scanning. Guidelines intending to reduce unnecessary head CT scans using available clinical variables to detect those at high IH risk have shown varying results. Recently, the Scandinavi...
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عنوان ژورنال:
دوره 11 شماره
صفحات -
تاریخ انتشار 2013