Skull radiographs and computed tomography scans in children and adolescents with mild head trauma
To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans. Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 an...
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| Veröffentlicht in: | Arquivos de neuro-psiquiatria 2008, Vol.66 (3B), p.708-710 |
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| creator | Melo, José Roberto Tude Reis, Rodolfo Casimiro Lemos-Júnior, Laudenor Pereira Azevedo-Neto, Assuero Oliveira, Dalton Willy Santos Garcia, Felipe René F Cruz Ribeiro, Joelson Oliveira Santos-Neto, Muryllo de Brito Oliveira-Filho, Jamary |
| description | To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans.
Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008.
A total of 1888 mild head trauma patients were admitted; mean age was 7.4 (+/-5.5) years. A total of 1956 skull radiographs and 734 CCT scans were performed. About 44.4% patients with Glasgow coma score (GCS) 13 and 55.4% with GCS 14 had abnormal CCT scans. In patients with multiple traumas, 16% had abnormal findings on CCT scans.
We strongly recommend routine CCT studies to patients with GCS of 13 and 14 or to multiple trauma victims, independently of score. Routine screening skull radiographs were not useful in the evaluation of mild head trauma patients in this study. |
| doi_str_mv | 10.1590/S0004-282X2008000500019 |
| format | Article |
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Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008.
A total of 1888 mild head trauma patients were admitted; mean age was 7.4 (+/-5.5) years. A total of 1956 skull radiographs and 734 CCT scans were performed. About 44.4% patients with Glasgow coma score (GCS) 13 and 55.4% with GCS 14 had abnormal CCT scans. In patients with multiple traumas, 16% had abnormal findings on CCT scans.
We strongly recommend routine CCT studies to patients with GCS of 13 and 14 or to multiple trauma victims, independently of score. Routine screening skull radiographs were not useful in the evaluation of mild head trauma patients in this study.</description><identifier>ISSN: 0004-282X</identifier><identifier>ISSN: 1678-4227</identifier><identifier>EISSN: 1678-4227</identifier><identifier>EISSN: 0004-282X</identifier><identifier>DOI: 10.1590/S0004-282X2008000500019</identifier><identifier>PMID: 18949267</identifier><language>eng</language><publisher>Brazil: Academia Brasileira de Neurologia - ABNEURO</publisher><subject>Adolescent ; Child ; Child, Preschool ; Craniocerebral Trauma - diagnostic imaging ; Glasgow Coma Scale ; Humans ; Infant ; Infant, Newborn ; NEUROSCIENCES ; PSYCHIATRY ; Skull - diagnostic imaging ; Surveys and Questionnaires ; Tomography, X-Ray Computed ; Young Adult</subject><ispartof>Arquivos de neuro-psiquiatria, 2008, Vol.66 (3B), p.708-710</ispartof><rights>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-b15fe61f3a191a1e2912206648d6798a9c65c90f312d78220c2b8d151e9a28153</citedby><cites>FETCH-LOGICAL-c430t-b15fe61f3a191a1e2912206648d6798a9c65c90f312d78220c2b8d151e9a28153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,864,885,4021,27921,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18949267$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Melo, José Roberto Tude</creatorcontrib><creatorcontrib>Reis, Rodolfo Casimiro</creatorcontrib><creatorcontrib>Lemos-Júnior, Laudenor Pereira</creatorcontrib><creatorcontrib>Azevedo-Neto, Assuero</creatorcontrib><creatorcontrib>Oliveira, Dalton Willy Santos</creatorcontrib><creatorcontrib>Garcia, Felipe René F Cruz</creatorcontrib><creatorcontrib>Ribeiro, Joelson Oliveira</creatorcontrib><creatorcontrib>Santos-Neto, Muryllo de Brito</creatorcontrib><creatorcontrib>Oliveira-Filho, Jamary</creatorcontrib><title>Skull radiographs and computed tomography scans in children and adolescents with mild head trauma</title><title>Arquivos de neuro-psiquiatria</title><addtitle>Arq Neuropsiquiatr</addtitle><description>To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans.
Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008.
A total of 1888 mild head trauma patients were admitted; mean age was 7.4 (+/-5.5) years. A total of 1956 skull radiographs and 734 CCT scans were performed. About 44.4% patients with Glasgow coma score (GCS) 13 and 55.4% with GCS 14 had abnormal CCT scans. In patients with multiple traumas, 16% had abnormal findings on CCT scans.
We strongly recommend routine CCT studies to patients with GCS of 13 and 14 or to multiple trauma victims, independently of score. Routine screening skull radiographs were not useful in the evaluation of mild head trauma patients in this study.</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Craniocerebral Trauma - diagnostic imaging</subject><subject>Glasgow Coma Scale</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>NEUROSCIENCES</subject><subject>PSYCHIATRY</subject><subject>Skull - diagnostic imaging</subject><subject>Surveys and Questionnaires</subject><subject>Tomography, X-Ray Computed</subject><subject>Young Adult</subject><issn>0004-282X</issn><issn>1678-4227</issn><issn>1678-4227</issn><issn>0004-282X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1PwzAMhiMEYmPwFyAnbh1x2qbJEU18SZM4DCRuVZaktKNtStIK7d8T1gkOSHCwIsfP6zexEboAModUkKsVISSJKKcvlBAekjQEiAM0BZbxKKE0O0TTb2iCTrzfEEITIbJjNAEuEkFZNkVy9TbUNXZSV_bVya70WLYaK9t0Q2807m0z3m-xV7L1uGqxKqtaO9PuSKltbbwybe_xR9WXuAlFXBoZtE4OjTxFR4WsvTnbnzP0fHvztLiPlo93D4vrZaSSmPTRGtLCMChiCQIkGCqAUsJYwjXLBJdCsVQJUsRAdcZDSdE115CCEZJySOMZmo99vapMbfONHVwbDPPdrPJfswqCy1HQOfs-GN_nTRU-UteyNXbwORMZSRlJ_wUpAYCYJwHMRlA5670zRd65qpFumwPJv_b2x1vO9xbDujH6R7dfVPwJ7XmQhw</recordid><startdate>2008</startdate><enddate>2008</enddate><creator>Melo, José Roberto Tude</creator><creator>Reis, Rodolfo Casimiro</creator><creator>Lemos-Júnior, Laudenor Pereira</creator><creator>Azevedo-Neto, Assuero</creator><creator>Oliveira, Dalton Willy Santos</creator><creator>Garcia, Felipe René F Cruz</creator><creator>Ribeiro, Joelson Oliveira</creator><creator>Santos-Neto, Muryllo de Brito</creator><creator>Oliveira-Filho, Jamary</creator><general>Academia Brasileira de Neurologia - ABNEURO</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>GPN</scope></search><sort><creationdate>2008</creationdate><title>Skull radiographs and computed tomography scans in children and adolescents with mild head trauma</title><author>Melo, José Roberto Tude ; Reis, Rodolfo Casimiro ; Lemos-Júnior, Laudenor Pereira ; Azevedo-Neto, Assuero ; Oliveira, Dalton Willy Santos ; Garcia, Felipe René F Cruz ; Ribeiro, Joelson Oliveira ; Santos-Neto, Muryllo de Brito ; Oliveira-Filho, Jamary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-b15fe61f3a191a1e2912206648d6798a9c65c90f312d78220c2b8d151e9a28153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Craniocerebral Trauma - diagnostic imaging</topic><topic>Glasgow Coma Scale</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>NEUROSCIENCES</topic><topic>PSYCHIATRY</topic><topic>Skull - diagnostic imaging</topic><topic>Surveys and Questionnaires</topic><topic>Tomography, X-Ray Computed</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Melo, José Roberto Tude</creatorcontrib><creatorcontrib>Reis, Rodolfo Casimiro</creatorcontrib><creatorcontrib>Lemos-Júnior, Laudenor Pereira</creatorcontrib><creatorcontrib>Azevedo-Neto, Assuero</creatorcontrib><creatorcontrib>Oliveira, Dalton Willy Santos</creatorcontrib><creatorcontrib>Garcia, Felipe René F Cruz</creatorcontrib><creatorcontrib>Ribeiro, Joelson Oliveira</creatorcontrib><creatorcontrib>Santos-Neto, Muryllo de Brito</creatorcontrib><creatorcontrib>Oliveira-Filho, Jamary</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><jtitle>Arquivos de neuro-psiquiatria</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Melo, José Roberto Tude</au><au>Reis, Rodolfo Casimiro</au><au>Lemos-Júnior, Laudenor Pereira</au><au>Azevedo-Neto, Assuero</au><au>Oliveira, Dalton Willy Santos</au><au>Garcia, Felipe René F Cruz</au><au>Ribeiro, Joelson Oliveira</au><au>Santos-Neto, Muryllo de Brito</au><au>Oliveira-Filho, Jamary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Skull radiographs and computed tomography scans in children and adolescents with mild head trauma</atitle><jtitle>Arquivos de neuro-psiquiatria</jtitle><addtitle>Arq Neuropsiquiatr</addtitle><date>2008</date><risdate>2008</risdate><volume>66</volume><issue>3B</issue><spage>708</spage><epage>710</epage><pages>708-710</pages><issn>0004-282X</issn><issn>1678-4227</issn><eissn>1678-4227</eissn><eissn>0004-282X</eissn><abstract>To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans.
Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008.
A total of 1888 mild head trauma patients were admitted; mean age was 7.4 (+/-5.5) years. A total of 1956 skull radiographs and 734 CCT scans were performed. About 44.4% patients with Glasgow coma score (GCS) 13 and 55.4% with GCS 14 had abnormal CCT scans. In patients with multiple traumas, 16% had abnormal findings on CCT scans.
We strongly recommend routine CCT studies to patients with GCS of 13 and 14 or to multiple trauma victims, independently of score. Routine screening skull radiographs were not useful in the evaluation of mild head trauma patients in this study.</abstract><cop>Brazil</cop><pub>Academia Brasileira de Neurologia - ABNEURO</pub><pmid>18949267</pmid><doi>10.1590/S0004-282X2008000500019</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Child Child, Preschool Craniocerebral Trauma - diagnostic imaging Glasgow Coma Scale Humans Infant Infant, Newborn NEUROSCIENCES PSYCHIATRY Skull - diagnostic imaging Surveys and Questionnaires Tomography, X-Ray Computed Young Adult |
| title | Skull radiographs and computed tomography scans in children and adolescents with mild head trauma |
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