18 Utilisation of Head CT to Determine Rates of Intracranial Injury Following Inpatient Falls in the Medical Department, Hospital Kuala Lumpur (HKL)
Abstract Introduction Inpatient falls are associated with serious and life–threatening injuries in 4-6% of cases1. This includes Intracranial Injury (ICI). Imaging of the Head is required to detect and manage patients with head injury2; however there are no specific guidelines to facilitate utilisat...
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| Veröffentlicht in: | Age and ageing 2019-12, Vol.48 (Supplement_4), p.iv6-iv8 |
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| creator | Karthigayan, Aruna Tarmizi, Noor Azleen Ahmad Chong, Elizabeth Gar Mit Razali, Rizah Mazzuin Yau, Weng Keong Lee, Fatt Soon |
| description | Abstract
Introduction
Inpatient falls are associated with serious and life–threatening injuries in 4-6% of cases1. This includes Intracranial Injury (ICI). Imaging of the Head is required to detect and manage patients with head injury2; however there are no specific guidelines to facilitate utilisation of Head CT after Inpatient Falls.
Objective
The goal of this study is to review the utilisation of Head CT to determine rates of intracranial injury (ICI) following inpatient falls.
Methodology
This is a retrospective study of all patients admitted to the Medical Department, HKL in year 2017 who sustained an inpatient fall. The data was obtained from the database of the Falls Team HKL and review of medical notes.
Results
152 patients, with an average age of (61.65±15.51) years were included in this study. Of these 94 (61.8%) were male, 85 (55.9%) were ≥ 65 years. 45 (29.6%) patients had a Head CT after inpatient fall. Median time to request for Head CT was 130 (IQR 30–582.50) minutes from the time of fall. Head CT was more likely in patients with Direct impact to head during fall (Adj.OR;4.71(95%CI 1.39 – 15.85). Fifty-seven (37.5%) patients sustained Direct impact to head during fall, however only 32/57(71.1%) had a Head CT as inpatient. Patients who had Direct impact to head during fall, were more likely to develop Giddiness (Adj.OR;5.96(95%CI 1.94-18.30) and Hematoma (Adj.OR;6.186(95%CI 1.59 – 24.03) after fall. Intracranial injury (ICI) was identified in 5/45 (11.1%) patients who underwent a Head CT. Patients with (ICI) had an average age of (74.00 ±7.906) years. All 5 patients were reviewed by the Neurosurgical team. Of these, 1/5 (20%) patient died during hospitalisation and 1/5 (20%) patient was discharged in a terminally ill condition.
Conclusion
Intracranial injury (ICI) was identified in 5/45 (11.1%) patients who underwent a Head CT and they were more likely to be ≥ 65years. Head CT was more likely in patients with Direct impact to head, headache, hematoma and confusion after inpatient fall. |
| doi_str_mv | 10.1093/ageing/afz164.18 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2502744725</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/ageing/afz164.18</oup_id><sourcerecordid>2502744725</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1478-9bbe0cae7bae5e141d4304bd6358416a3b39d863f873754c839d9859ab8acb413</originalsourceid><addsrcrecordid>eNqFUM9LwzAUDqLgnN49BrwoWk2atE2PMp0bTgRx5_Lavs6MrqlJiujf4R9spN49Pb73_YKPkFPOrjnLxQ1sUHebG2i-eCqvudojEy5TFcVKyH0yYYzFEcvi_JAcObcNkCc8npBvruja61Y78Np01DR0gVDT2Sv1ht6hR7vTHdIX8Oh-2WXnLVQWOg1tANvBftK5aVvzEerDow852Hk6h7Z1VHfUvyF9wlpXQX-HPVi_C_wVXRjXax-ejwO0QFfDrh8sPV88ri6OyUEDrcOTvzsl6_n962wRrZ4flrPbVVRxmakoL0tkFWBWAibIJa-lYLKsU5EoyVMQpchrlYpGZSJLZKUCzFWSQ6mgKiUXU3I25vbWvA_ofLE1g-1CZREnLM6kzOIkqNioqqxxzmJT9FbvwH4WnBW_2xfj9sW4fcFVsFyOFjP0_6t_ABqqiDw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2502744725</pqid></control><display><type>article</type><title>18 Utilisation of Head CT to Determine Rates of Intracranial Injury Following Inpatient Falls in the Medical Department, Hospital Kuala Lumpur (HKL)</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Karthigayan, Aruna ; Tarmizi, Noor Azleen Ahmad ; Chong, Elizabeth Gar Mit ; Razali, Rizah Mazzuin ; Yau, Weng Keong ; Lee, Fatt Soon</creator><creatorcontrib>Karthigayan, Aruna ; Tarmizi, Noor Azleen Ahmad ; Chong, Elizabeth Gar Mit ; Razali, Rizah Mazzuin ; Yau, Weng Keong ; Lee, Fatt Soon</creatorcontrib><description>Abstract
Introduction
Inpatient falls are associated with serious and life–threatening injuries in 4-6% of cases1. This includes Intracranial Injury (ICI). Imaging of the Head is required to detect and manage patients with head injury2; however there are no specific guidelines to facilitate utilisation of Head CT after Inpatient Falls.
Objective
The goal of this study is to review the utilisation of Head CT to determine rates of intracranial injury (ICI) following inpatient falls.
Methodology
This is a retrospective study of all patients admitted to the Medical Department, HKL in year 2017 who sustained an inpatient fall. The data was obtained from the database of the Falls Team HKL and review of medical notes.
Results
152 patients, with an average age of (61.65±15.51) years were included in this study. Of these 94 (61.8%) were male, 85 (55.9%) were ≥ 65 years. 45 (29.6%) patients had a Head CT after inpatient fall. Median time to request for Head CT was 130 (IQR 30–582.50) minutes from the time of fall. Head CT was more likely in patients with Direct impact to head during fall (Adj.OR;4.71(95%CI 1.39 – 15.85). Fifty-seven (37.5%) patients sustained Direct impact to head during fall, however only 32/57(71.1%) had a Head CT as inpatient. Patients who had Direct impact to head during fall, were more likely to develop Giddiness (Adj.OR;5.96(95%CI 1.94-18.30) and Hematoma (Adj.OR;6.186(95%CI 1.59 – 24.03) after fall. Intracranial injury (ICI) was identified in 5/45 (11.1%) patients who underwent a Head CT. Patients with (ICI) had an average age of (74.00 ±7.906) years. All 5 patients were reviewed by the Neurosurgical team. Of these, 1/5 (20%) patient died during hospitalisation and 1/5 (20%) patient was discharged in a terminally ill condition.
Conclusion
Intracranial injury (ICI) was identified in 5/45 (11.1%) patients who underwent a Head CT and they were more likely to be ≥ 65years. Head CT was more likely in patients with Direct impact to head, headache, hematoma and confusion after inpatient fall.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afz164.18</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Averages ; Computed tomography ; Confusion ; Falls ; Head ; Hematoma ; Hospitalization ; Injuries ; Inpatient care ; Neurosurgery ; Patients ; Teams</subject><ispartof>Age and ageing, 2019-12, Vol.48 (Supplement_4), p.iv6-iv8</ispartof><rights>The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com 2019</rights><rights>The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902,30976</link.rule.ids></links><search><creatorcontrib>Karthigayan, Aruna</creatorcontrib><creatorcontrib>Tarmizi, Noor Azleen Ahmad</creatorcontrib><creatorcontrib>Chong, Elizabeth Gar Mit</creatorcontrib><creatorcontrib>Razali, Rizah Mazzuin</creatorcontrib><creatorcontrib>Yau, Weng Keong</creatorcontrib><creatorcontrib>Lee, Fatt Soon</creatorcontrib><title>18 Utilisation of Head CT to Determine Rates of Intracranial Injury Following Inpatient Falls in the Medical Department, Hospital Kuala Lumpur (HKL)</title><title>Age and ageing</title><description>Abstract
Introduction
Inpatient falls are associated with serious and life–threatening injuries in 4-6% of cases1. This includes Intracranial Injury (ICI). Imaging of the Head is required to detect and manage patients with head injury2; however there are no specific guidelines to facilitate utilisation of Head CT after Inpatient Falls.
Objective
The goal of this study is to review the utilisation of Head CT to determine rates of intracranial injury (ICI) following inpatient falls.
Methodology
This is a retrospective study of all patients admitted to the Medical Department, HKL in year 2017 who sustained an inpatient fall. The data was obtained from the database of the Falls Team HKL and review of medical notes.
Results
152 patients, with an average age of (61.65±15.51) years were included in this study. Of these 94 (61.8%) were male, 85 (55.9%) were ≥ 65 years. 45 (29.6%) patients had a Head CT after inpatient fall. Median time to request for Head CT was 130 (IQR 30–582.50) minutes from the time of fall. Head CT was more likely in patients with Direct impact to head during fall (Adj.OR;4.71(95%CI 1.39 – 15.85). Fifty-seven (37.5%) patients sustained Direct impact to head during fall, however only 32/57(71.1%) had a Head CT as inpatient. Patients who had Direct impact to head during fall, were more likely to develop Giddiness (Adj.OR;5.96(95%CI 1.94-18.30) and Hematoma (Adj.OR;6.186(95%CI 1.59 – 24.03) after fall. Intracranial injury (ICI) was identified in 5/45 (11.1%) patients who underwent a Head CT. Patients with (ICI) had an average age of (74.00 ±7.906) years. All 5 patients were reviewed by the Neurosurgical team. Of these, 1/5 (20%) patient died during hospitalisation and 1/5 (20%) patient was discharged in a terminally ill condition.
Conclusion
Intracranial injury (ICI) was identified in 5/45 (11.1%) patients who underwent a Head CT and they were more likely to be ≥ 65years. Head CT was more likely in patients with Direct impact to head, headache, hematoma and confusion after inpatient fall.</description><subject>Averages</subject><subject>Computed tomography</subject><subject>Confusion</subject><subject>Falls</subject><subject>Head</subject><subject>Hematoma</subject><subject>Hospitalization</subject><subject>Injuries</subject><subject>Inpatient care</subject><subject>Neurosurgery</subject><subject>Patients</subject><subject>Teams</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFUM9LwzAUDqLgnN49BrwoWk2atE2PMp0bTgRx5_Lavs6MrqlJiujf4R9spN49Pb73_YKPkFPOrjnLxQ1sUHebG2i-eCqvudojEy5TFcVKyH0yYYzFEcvi_JAcObcNkCc8npBvruja61Y78Np01DR0gVDT2Sv1ht6hR7vTHdIX8Oh-2WXnLVQWOg1tANvBftK5aVvzEerDow852Hk6h7Z1VHfUvyF9wlpXQX-HPVi_C_wVXRjXax-ejwO0QFfDrh8sPV88ri6OyUEDrcOTvzsl6_n962wRrZ4flrPbVVRxmakoL0tkFWBWAibIJa-lYLKsU5EoyVMQpchrlYpGZSJLZKUCzFWSQ6mgKiUXU3I25vbWvA_ofLE1g-1CZREnLM6kzOIkqNioqqxxzmJT9FbvwH4WnBW_2xfj9sW4fcFVsFyOFjP0_6t_ABqqiDw</recordid><startdate>20191220</startdate><enddate>20191220</enddate><creator>Karthigayan, Aruna</creator><creator>Tarmizi, Noor Azleen Ahmad</creator><creator>Chong, Elizabeth Gar Mit</creator><creator>Razali, Rizah Mazzuin</creator><creator>Yau, Weng Keong</creator><creator>Lee, Fatt Soon</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20191220</creationdate><title>18 Utilisation of Head CT to Determine Rates of Intracranial Injury Following Inpatient Falls in the Medical Department, Hospital Kuala Lumpur (HKL)</title><author>Karthigayan, Aruna ; Tarmizi, Noor Azleen Ahmad ; Chong, Elizabeth Gar Mit ; Razali, Rizah Mazzuin ; Yau, Weng Keong ; Lee, Fatt Soon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1478-9bbe0cae7bae5e141d4304bd6358416a3b39d863f873754c839d9859ab8acb413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Averages</topic><topic>Computed tomography</topic><topic>Confusion</topic><topic>Falls</topic><topic>Head</topic><topic>Hematoma</topic><topic>Hospitalization</topic><topic>Injuries</topic><topic>Inpatient care</topic><topic>Neurosurgery</topic><topic>Patients</topic><topic>Teams</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karthigayan, Aruna</creatorcontrib><creatorcontrib>Tarmizi, Noor Azleen Ahmad</creatorcontrib><creatorcontrib>Chong, Elizabeth Gar Mit</creatorcontrib><creatorcontrib>Razali, Rizah Mazzuin</creatorcontrib><creatorcontrib>Yau, Weng Keong</creatorcontrib><creatorcontrib>Lee, Fatt Soon</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karthigayan, Aruna</au><au>Tarmizi, Noor Azleen Ahmad</au><au>Chong, Elizabeth Gar Mit</au><au>Razali, Rizah Mazzuin</au><au>Yau, Weng Keong</au><au>Lee, Fatt Soon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>18 Utilisation of Head CT to Determine Rates of Intracranial Injury Following Inpatient Falls in the Medical Department, Hospital Kuala Lumpur (HKL)</atitle><jtitle>Age and ageing</jtitle><date>2019-12-20</date><risdate>2019</risdate><volume>48</volume><issue>Supplement_4</issue><spage>iv6</spage><epage>iv8</epage><pages>iv6-iv8</pages><issn>0002-0729</issn><eissn>1468-2834</eissn><abstract>Abstract
Introduction
Inpatient falls are associated with serious and life–threatening injuries in 4-6% of cases1. This includes Intracranial Injury (ICI). Imaging of the Head is required to detect and manage patients with head injury2; however there are no specific guidelines to facilitate utilisation of Head CT after Inpatient Falls.
Objective
The goal of this study is to review the utilisation of Head CT to determine rates of intracranial injury (ICI) following inpatient falls.
Methodology
This is a retrospective study of all patients admitted to the Medical Department, HKL in year 2017 who sustained an inpatient fall. The data was obtained from the database of the Falls Team HKL and review of medical notes.
Results
152 patients, with an average age of (61.65±15.51) years were included in this study. Of these 94 (61.8%) were male, 85 (55.9%) were ≥ 65 years. 45 (29.6%) patients had a Head CT after inpatient fall. Median time to request for Head CT was 130 (IQR 30–582.50) minutes from the time of fall. Head CT was more likely in patients with Direct impact to head during fall (Adj.OR;4.71(95%CI 1.39 – 15.85). Fifty-seven (37.5%) patients sustained Direct impact to head during fall, however only 32/57(71.1%) had a Head CT as inpatient. Patients who had Direct impact to head during fall, were more likely to develop Giddiness (Adj.OR;5.96(95%CI 1.94-18.30) and Hematoma (Adj.OR;6.186(95%CI 1.59 – 24.03) after fall. Intracranial injury (ICI) was identified in 5/45 (11.1%) patients who underwent a Head CT. Patients with (ICI) had an average age of (74.00 ±7.906) years. All 5 patients were reviewed by the Neurosurgical team. Of these, 1/5 (20%) patient died during hospitalisation and 1/5 (20%) patient was discharged in a terminally ill condition.
Conclusion
Intracranial injury (ICI) was identified in 5/45 (11.1%) patients who underwent a Head CT and they were more likely to be ≥ 65years. Head CT was more likely in patients with Direct impact to head, headache, hematoma and confusion after inpatient fall.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1093/ageing/afz164.18</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Age and ageing, 2019-12, Vol.48 (Supplement_4), p.iv6-iv8 |
| issn | 0002-0729 1468-2834 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Averages Computed tomography Confusion Falls Head Hematoma Hospitalization Injuries Inpatient care Neurosurgery Patients Teams |
| title | 18 Utilisation of Head CT to Determine Rates of Intracranial Injury Following Inpatient Falls in the Medical Department, Hospital Kuala Lumpur (HKL) |
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