New guidelines for the initial management of head injury

BMC Medicine

G Bryan Young¹  Carolyn M Benson¹ 

[1] Department of Clinical Neurological Sciences, London Health Sciences Center, University Campus, 339 Windermere Road, London ON, N6A 5A5, Canada

关键词: head trauma;    CT guidelines;    admission criteria;   

Others  :  857172
DOI  :  10.1186/1741-7015-11-51

 received in 2013-01-29, accepted in 2013-02-25,  发布年份 2013

【 摘 要 】

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.

【 授权许可】

   
2013 Benson and Young; licensee BioMed Central Ltd.

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