Do we routinely need cranial computed tomography for mild head injuries in Turkey?


Yavasi Ö. , Unluer E. E. , Gun C., Saglam C., KAYAYURT K., Kilic T. Y. , ...More

EUROPEAN JOURNAL OF EMERGENCY MEDICINE, vol.18, no.4, pp.238-240, 2011 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 18 Issue: 4
  • Publication Date: 2011
  • Doi Number: 10.1097/mej.0b013e3283449119
  • Title of Journal : EUROPEAN JOURNAL OF EMERGENCY MEDICINE
  • Page Numbers: pp.238-240
  • Keywords: cranial computed tomography, mild head trauma, radiation, CLINICAL DECISION INSTRUMENTS, CT-SCAN

Abstract

The objectives of this study were to determine the role of clinical parameters in detecting intracranial injury and to find out whether cranial computed tomography (CT) is routinely needed for mild head injury (MHI) in Turkey. This retrospective study was conducted by reviewing the records of patients with MHI who underwent cranial CT in our emergency department. We carried out multiple logistic regression analysis, and odds ratios with 95% confidence intervals were calculated by using SPSS 15.0. This study included 923 patients. Positive cranial CT findings were determined in 17 patients (1.8%) and six of them (0.6%) underwent surgery. Statistically significant correlations were found among headache, presence of clinical findings of skull fracture, focal neurological deficit and positive cranial CT findings. Although the incidence of the intracranial lesions, especially those requiring surgery, is low in MHI, the liberal use of CT scanning in MHI seems to be justified in countries such as Turkey. European Journal of Emergency Medicine 18:238-240 (C) 2011 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.