The American Journal of Surgery
Volume 187, Issue 3 , Pages 338-342 , March 2004

Value of repeat cranial computed axial tomography scanning in patients with minimal head injury

Presented at the 32nd Annual Meeting of the Western Trauma Association, Whistler–Blackcombe, British Colombia, Canada, February 24 to March 1, 2002

  • Ziad C Sifri, M.D.

      Affiliations

    • Division of Trauma, Department of Surgery, University of Medicine and Dentistry of New Jersey–New Jersey Medical School, University Hospital M-243, 150 Bergen St., Newark, NJ 07103, USA
    • ,
  • David H Livingston, M.D.

      Affiliations

    • Division of Trauma, Department of Surgery, University of Medicine and Dentistry of New Jersey–New Jersey Medical School, University Hospital M-243, 150 Bergen St., Newark, NJ 07103, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-973-972-6869; fax: +1-973-972-7441.
    • ,
  • Robert F Lavery, M.A.

      Affiliations

    • Division of Trauma, Department of Surgery, University of Medicine and Dentistry of New Jersey–New Jersey Medical School, University Hospital M-243, 150 Bergen St., Newark, NJ 07103, USA
    • ,
  • Adena T Homnick, M.P.A.S.

      Affiliations

    • Division of Trauma, Department of Surgery, University of Medicine and Dentistry of New Jersey–New Jersey Medical School, University Hospital M-243, 150 Bergen St., Newark, NJ 07103, USA
    • ,
  • Anne C Mosenthal, M.D.

      Affiliations

    • Division of Trauma, Department of Surgery, University of Medicine and Dentistry of New Jersey–New Jersey Medical School, University Hospital M-243, 150 Bergen St., Newark, NJ 07103, USA
    • ,
  • Alicia M Mohr, M.D.

      Affiliations

    • Division of Trauma, Department of Surgery, University of Medicine and Dentistry of New Jersey–New Jersey Medical School, University Hospital M-243, 150 Bergen St., Newark, NJ 07103, USA
    • ,
  • Carl J Hauser, M.D.

      Affiliations

    • Division of Trauma, Department of Surgery, University of Medicine and Dentistry of New Jersey–New Jersey Medical School, University Hospital M-243, 150 Bergen St., Newark, NJ 07103, USA

Received 27 May 2003 ,Revised 21 August 2003

References 

  1. Valadka A. Injury to the cranium. In:  Mattox K,  Feliciano D,  Moore E editor. Trauma. 4th ed. Stamford, CT: Appleton & Lange; 2000;p. 377–398
  2. Livingston DH, Loder P, Koziol J, et al.  The use of CT scanning to triage patients requiring admission following minimal head injury. J Trauma. 1991;31:483–489
  3. Cushman J, Agarwal N, Fabian T, et al.  Practice management guidelines for the management of mild traumatic brain injury (the EAST practice management guidelines work group). J Trauma. 2001;51:1016–1026
  4. Haydel M, Preston C, Mills T, et al.  Indications for computed tomography in patients with minor head injury. N Eng J Med. 2000;13:100–105
  5. Stiell I, Wells G, Vandemheen K, et al.  The Canadian CT Head Rule for patients with minor head injury. Lancet. 2001;357:1391–1396
  6. Livingston DH, Lavery RF, Passannante MC, et al.  Emergency department discharge of patients with a negative cranial computed tomography scan after minimal head injury. Ann Surg. 2000;232:126–132
  7. Nagy K, Joseph K, Krosner S, et al.  The utility of head computed tomography after minimal head injury. J Trauma. 1999;46:268–270
  8. Livingston DH, Loder PA, Hunt CD. Minimal head injury (is admission necessary?). Am Surg. 1991;57:14–17
  9. Moran SG, McCarthy MC, Uddin DE, et al.  Predictors of positive CT scans in the trauma patient with minor head injury. Am Surg. 1994;60:533–536
  10. Miller E, Holmes J, Derlet R. Utilizing clinical factors to reduce head CT scan ordering for minor head trauma patients. J Emerg Med. 1997;15:453–457
  11. Shackford SR, Wald SL, Ross SE, et al.  The clinical utility of computed tomographic scanning and neurologic examination in the management of patients with minor head injuries. J Trauma. 1992;33:385–394
  12. Tabori U, Kornecki A, Sofer S, et al.  Repeat computed tomographic scan within 24–48 hours of admission in children with moderate and severe head trauma. Crit Care Med. 2000;28:840–844
  13. Chao A, Pearl J, Perdue P, et al.  Utility of routine serial computed tomography for blunt intracranial injury. J Trauma. 2001;51:870–875
  14. Lee T, Aldana P, Kirton O, et al.  Follow-up computerized tomography (CT) scans in moderate and severe head injuries (correlation with Glasgow Coma Scores (GCS) and complication rate). Acta Neurochir. 1997;139:1042–1047

PII: S0002-9610(03)00593-2

doi: 10.1016/j.amjsurg.2003.12.015

The American Journal of Surgery
Volume 187, Issue 3 , Pages 338-342 , March 2004

Article Tools

* Image Usage & Resolution