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首页> 外文期刊>Journal of Neurology Research >Two Different Approaches in Obtaining Head Computerized Tomography Scan in Minor Head Injuries
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Two Different Approaches in Obtaining Head Computerized Tomography Scan in Minor Head Injuries

机译：在头部轻微损伤中获得头部计算机断层扫描的两种不同方法

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Background: The management of minor head injury (GCS score of 15) especially in the use of computed tomography (CT) scan is still controversial. As a big and developing country, Indonesia faced some problems in the management of minor head injuries. Those problems were limited number of CT scan, big number of minor head injured patients assessed in emergency unit and far distance between small cities and referral centers. This study was aimed to provide different approaches in obtaining CT scan in this group of patients. Methods: This was a cohort prospective study involving 364 head injured patients with a GCS score of 15, aged over six years. All studied clinical data were recorded and CT scan was obtained. The relationship between the clinical risk factors and the presence of abnormal CT scan (the first end point of this study) and the need for surgery (the second end point) were tested by univariate analysis ((X2-test). Logistic regression analysis was then used to find the best combination of these clinical factors that were highly sensitive to detect abnormal CT scan and the need for surgery. Results: The incidence of abnormal CT scan and the need for surgery were 13.2% and 3.7% respectively. Loss of consciousness (LOC) (RR 4.84, 95 % CI 1.29 - 18.13), amnesia (RR 4.45, 95% CI 1.86 - 10.68), cranial soft tissue injury (RR 8.56, 95% CI 3.43 - 21.46), skull fracture (RR 6.81, 95% CI 2.04 - 22.77), age > 60 years (RR 5.56, 95% CI 2.09 - 14.77) were significant clinical factors of abnormal CT scan. While amnesia (RR 0.068, 95% CI 0.007 - 0.626), cranial soft tissue injury (RR 0.076, 95% CI 0.009 - 0.647) and skull fracture (RR 0.145, 95% CI 0.035 - 0.607) were significant clinical factors of the need for surgery. Conclusion: Our recent study provided two different approaches in obtaining head CT scan in minor head injuries, which were dependent on the availability of CT scan and the aim of taking CT scan.doi: http://dx.doi.org/10.4021/jnr225w
机译：背景：轻度颅脑损伤（GCS评分为15）的管理，尤其是在计算机断层扫描（CT）扫描中的使用，仍存在争议。作为一个发展中的大国，印度尼西亚在轻度头部受伤的管理方面面临一些问题。这些问题包括：CT扫描数量有限，急诊科评估的大量轻度头部受伤患者以及小城市和转诊中心之间的距离较远。这项研究旨在为该组患者提供获得CT扫描的不同方法。方法：这是一项队列前瞻性研究，涉及364名GCS评分为15的头部受伤患者，年龄超过6岁。记录所有研究的临床数据并获得CT扫描。通过单因素分析（（X2-test）检验临床风险因素与是否存在CT扫描异常（本研究的第一个终点）和是否需要手术（第二个终点）之间的关系。然后用于寻找对CT扫描异常和手术需求高度敏感的临床因素的最佳组合，结果：CT扫描异常和手术需求的发生率分别为13.2％和3.7％。 （LOC）（RR 4.84，95％CI 1.29-18.13），健忘症（RR 4.45，95％CI 1.86-10.68），颅骨软组织损伤（RR 8.56，95％CI 3.43-21.46），颅骨骨折（RR 6.81， 95％CI 2.04-22.77），年龄> 60岁（RR 5.56、95％CI 2.09-14.77）是CT扫描异常的重要临床因素;健忘症（RR 0.068，95％CI 0.007-0.626），颅骨软组织损伤（RR 0.076，95％CI 0.009-0.647）和颅骨骨折（RR 0.145，95％CI 0.035-0.607）是重要的临床因素需要手术。结论：我们最近的研究提供了两种在轻度颅脑损伤中获得头部CT扫描的方法，这取决于CT扫描的可用性和进行CT扫描的目的。doi：http://dx.doi.org/10.4021/ jnr225w

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