Indications for Computed Tomography in Patients with Minor Head Injury
The question of which patients with head trauma should undergo scanning has remained controversial since the introduction of computed tomography (CT) in the early 1970s. Initially, CT was a scarce resource reserved for severely injured patients. As CT scanners became more widely available, numerous...
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| Veröffentlicht in: | The New England journal of medicine 2000-07, Vol.343 (2), p.100-105 |
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| container_title | The New England journal of medicine |
| container_volume | 343 |
| creator | Haydel, Micelle J Preston, Charles A Mills, Trevor J Luber, Samuel Blaudeau, Erick DeBlieux, Peter M.C |
| description | The question of which patients with head trauma should undergo scanning has remained controversial since the introduction of computed tomography (CT) in the early 1970s. Initially, CT was a scarce resource reserved for severely injured patients. As CT scanners became more widely available, numerous studies of CT have focused on patients with minor head injury who have intracranial lesions. In the early 1990s, several retrospective studies of patients with minor head injury reported substantial proportions with intracranial lesions on CT (17 to 20 percent). These studies included patients with scores of 13 to 15 on the Glasgow Coma Scale, indicating . . . |
| doi_str_mv | 10.1056/NEJM200007133430204 |
| format | Article |
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Initially, CT was a scarce resource reserved for severely injured patients. As CT scanners became more widely available, numerous studies of CT have focused on patients with minor head injury who have intracranial lesions. In the early 1990s, several retrospective studies of patients with minor head injury reported substantial proportions with intracranial lesions on CT (17 to 20 percent). These studies included patients with scores of 13 to 15 on the Glasgow Coma Scale, indicating . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM200007133430204</identifier><identifier>PMID: 10891517</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alcoholic Intoxication ; Biological and medical sciences ; Child ; Child, Preschool ; Coma ; Consciousness ; Craniocerebral Trauma - classification ; Craniocerebral Trauma - diagnostic imaging ; Female ; Glasgow Coma Scale ; Head injuries ; Humans ; Infant ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical diagnosis ; Medical imaging ; Medical sciences ; Memory Disorders ; Middle Aged ; Neurologic Examination ; Patients ; Risk Factors ; Sensitivity and Specificity ; Substance-Related Disorders ; Tomography, X-Ray Computed ; Traumas. Diseases due to physical agents</subject><ispartof>The New England journal of medicine, 2000-07, Vol.343 (2), p.100-105</ispartof><rights>Copyright © 2000 Massachusetts Medical Society. 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Initially, CT was a scarce resource reserved for severely injured patients. As CT scanners became more widely available, numerous studies of CT have focused on patients with minor head injury who have intracranial lesions. In the early 1990s, several retrospective studies of patients with minor head injury reported substantial proportions with intracranial lesions on CT (17 to 20 percent). These studies included patients with scores of 13 to 15 on the Glasgow Coma Scale, indicating . . .</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alcoholic Intoxication</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Coma</subject><subject>Consciousness</subject><subject>Craniocerebral Trauma - classification</subject><subject>Craniocerebral Trauma - diagnostic imaging</subject><subject>Female</subject><subject>Glasgow Coma Scale</subject><subject>Head injuries</subject><subject>Humans</subject><subject>Infant</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Memory Disorders</subject><subject>Middle Aged</subject><subject>Neurologic Examination</subject><subject>Patients</subject><subject>Risk Factors</subject><subject>Sensitivity and Specificity</subject><subject>Substance-Related Disorders</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. 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Initially, CT was a scarce resource reserved for severely injured patients. As CT scanners became more widely available, numerous studies of CT have focused on patients with minor head injury who have intracranial lesions. In the early 1990s, several retrospective studies of patients with minor head injury reported substantial proportions with intracranial lesions on CT (17 to 20 percent). These studies included patients with scores of 13 to 15 on the Glasgow Coma Scale, indicating . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>10891517</pmid><doi>10.1056/NEJM200007133430204</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Alcoholic Intoxication Biological and medical sciences Child Child, Preschool Coma Consciousness Craniocerebral Trauma - classification Craniocerebral Trauma - diagnostic imaging Female Glasgow Coma Scale Head injuries Humans Infant Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical diagnosis Medical imaging Medical sciences Memory Disorders Middle Aged Neurologic Examination Patients Risk Factors Sensitivity and Specificity Substance-Related Disorders Tomography, X-Ray Computed Traumas. Diseases due to physical agents |
| title | Indications for Computed Tomography in Patients with Minor Head Injury |
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