Cerebral Computed Tomography on Patients With Minor Head Injuries

Completed

• Conditions: Computed Tomography; Minor Head Injuries

• Registration Number: NCT06399913
• Lead Sponsor: University of Southern Denmark

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study Start: 2023-01-01
• Primary Completion: 2023-12-31
• Study Completion: 2024-01-30
• Status Verified: 2024-04
• Study First Submitted: 2024-04-30
• Study First Submitted QC: 2024-04-30
• Last Update Submitted: 2024-04-30
• Study First Posted: 2024-05-06
• Last Update Posted: 2024-05-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 7106

Inclusion Criteria

• CTCs conducted from 01.01.2023 to 31.12.2023 in the ED

Exclusion Criteria

• 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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Positive CTC	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

Secondary Outcome Measures

Name	Time	Method
Scandinavian Neurotrauma Committee clinical practice guideline evaluation	1 year	We wanted to analyze our use of SNC CPG and evaluate if a more stringent application could reduce the potentially unnecessary overuse of CTC

Trial Locations

Locations (1)

Odense University Hospital; 🇩🇰 Odense, Region Syddanmark, Denmark