Use of Cerebral Computed Tomography on Patients With Minor Head Injuries in a Danish Emergency Department: A Retrospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 7,106
- 试验地点
- 1
- 主要终点
- Positive CTC
研究概览
简要总结
This observational study aims to calculate the prevalence of conditions or diseases requiring immediate medical attention in CTC scans with an indication of bleeding post trauma performed in the ED at Odense University Hospital. Secondary, we aim to evaluate the Scandinavian Neurotrauma Committee clinical guideline 2013 for minor head injury.
详细描述
In this retrospective study, our primary objectives are threefold: first, to calculate the prevalence of conditions or diseases requiring immediate medical attention and to subdivide them to explore potential correlations with biochemical, clinical, and patient baseline variables using multiple regression analysis. Secondly, we wanted to analyze our use of SNC CPG and evaluate if a more stringent application could reduce the potentially unnecessary overuse of CTC. Lastly, we aim to evaluate the 30-day mortality and readmission rates to a hospital following CTC performed in the ED.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •CTCs conducted from 01.01.2023 to 31.12.2023 in the ED
排除标准
- •unrelated to trauma
- •scans performed on patients under the age of 18
- •CTC scans without radiologic interpretation
- •Previously undergone a CTC during the same hospitalization, only the first CTC was included
结局指标
主要结局
Positive CTC
时间窗: 1 year
Calculate the prevalence of positive CTC findings and to subdivide them to explore potential correlations with biochemical, clinical, and patient baseline variables. The CT scan was acknowledged as positive if the final radiologic interpretation of all imaging studies reported one or more listed radiological findings: * Epidural hematoma * Subdural hematoma * Subarachnoid hematoma * Intraparenchymal hematoma (IPH) * Intraventricular hematoma * Fossa posterior hematoma * Acute infarct or dense artery sign * Mass effect or sulcal effacement * Signs of herniation * Basal cistern compression or midline shift * Cerebral contusion * Depressed skull fracture * Diastatic skull fracture * Pneumocephalus * Cerebral edema * Diffuse axonal injury * Tumor * Intracranial infection * Other which resulted in hospitalization
次要结局
- Scandinavian Neurotrauma Committee clinical practice guideline evaluation(1 year)