A second look at the utility of serial routine repeat computed tomographic scans in patients with traumatic brain injury Podium presentation at the 67th Annual Meeting of the Southwest Surgical Congress from 26 to 29 April, 2015 at Monterey, CA.

Ansab A. Haider, Peter M Rhee, Tahereh Orouji, Narong Kulvatunyou, Tania Hassanzadeh, Andrew - Tang, Adil Farman, Terence S Okeeffe, Rifat - Latifi, Bellal A Joseph

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4 Citations (Scopus)

Abstract

Background The practice of a routine repeat head computed tomographic scans in patients with traumatic brain injury (TBI) is under question. The aim of our study was to evaluate the utility of a more than 1 repeat head computed tomography (M1CT) scans in patients with TBI. Methods We performed a 3-year analysis of a prospectively collected database of all TBI patients presenting to our level I trauma center. Patients who received M1CT scans were included. Findings and reason (without neurologic decline vs after neurologic decline) for M1CT were recorded. Primary outcome measure was neurosurgical intervention. Results A total of 296 patients that underwent M1CT were included. Of those, 291 patients (98.6%) had M1CT without a neurologic decline, and neurosurgical intervention was performed in 1 patient (.3%) who was inexaminable (Glasgow coma scale score = 6). The remaining (n = 5) had M1CT due to a neurologic decline; 4 patients (80%) of the 5 had worsening of ICH; and neurosurgical intervention was performed in 3 (75%) of the 4 patients. Conclusions The practice of multiple repeat head computed tomographic scans should be limited to inexaminable patients or patients with neurological deterioration.

Original languageEnglish (US)
Pages (from-to)1088-1094
Number of pages7
JournalAmerican Journal of Surgery
Volume210
Issue number6
DOIs
StatePublished - Dec 1 2015

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Nervous System
Head
Traumatic Brain Injury
Glasgow Coma Scale
Trauma Centers
Tomography
Outcome Assessment (Health Care)
Databases

Keywords

  • More than 1 repeat scans
  • Neurologic decline
  • Neurosurgical intervention
  • Radiological progression
  • Serial CT scans
  • Traumatic brain injury

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "A second look at the utility of serial routine repeat computed tomographic scans in patients with traumatic brain injury Podium presentation at the 67th Annual Meeting of the Southwest Surgical Congress from 26 to 29 April, 2015 at Monterey, CA.",
abstract = "Background The practice of a routine repeat head computed tomographic scans in patients with traumatic brain injury (TBI) is under question. The aim of our study was to evaluate the utility of a more than 1 repeat head computed tomography (M1CT) scans in patients with TBI. Methods We performed a 3-year analysis of a prospectively collected database of all TBI patients presenting to our level I trauma center. Patients who received M1CT scans were included. Findings and reason (without neurologic decline vs after neurologic decline) for M1CT were recorded. Primary outcome measure was neurosurgical intervention. Results A total of 296 patients that underwent M1CT were included. Of those, 291 patients (98.6{\%}) had M1CT without a neurologic decline, and neurosurgical intervention was performed in 1 patient (.3{\%}) who was inexaminable (Glasgow coma scale score = 6). The remaining (n = 5) had M1CT due to a neurologic decline; 4 patients (80{\%}) of the 5 had worsening of ICH; and neurosurgical intervention was performed in 3 (75{\%}) of the 4 patients. Conclusions The practice of multiple repeat head computed tomographic scans should be limited to inexaminable patients or patients with neurological deterioration.",
keywords = "More than 1 repeat scans, Neurologic decline, Neurosurgical intervention, Radiological progression, Serial CT scans, Traumatic brain injury",
author = "Haider, {Ansab A.} and Rhee, {Peter M} and Tahereh Orouji and Narong Kulvatunyou and Tania Hassanzadeh and Tang, {Andrew -} and Adil Farman and Okeeffe, {Terence S} and Latifi, {Rifat -} and Joseph, {Bellal A}",
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T1 - A second look at the utility of serial routine repeat computed tomographic scans in patients with traumatic brain injury Podium presentation at the 67th Annual Meeting of the Southwest Surgical Congress from 26 to 29 April, 2015 at Monterey, CA.

AU - Haider, Ansab A.

AU - Rhee, Peter M

AU - Orouji, Tahereh

AU - Kulvatunyou, Narong

AU - Hassanzadeh, Tania

AU - Tang, Andrew -

AU - Farman, Adil

AU - Okeeffe, Terence S

AU - Latifi, Rifat -

AU - Joseph, Bellal A

PY - 2015/12/1

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N2 - Background The practice of a routine repeat head computed tomographic scans in patients with traumatic brain injury (TBI) is under question. The aim of our study was to evaluate the utility of a more than 1 repeat head computed tomography (M1CT) scans in patients with TBI. Methods We performed a 3-year analysis of a prospectively collected database of all TBI patients presenting to our level I trauma center. Patients who received M1CT scans were included. Findings and reason (without neurologic decline vs after neurologic decline) for M1CT were recorded. Primary outcome measure was neurosurgical intervention. Results A total of 296 patients that underwent M1CT were included. Of those, 291 patients (98.6%) had M1CT without a neurologic decline, and neurosurgical intervention was performed in 1 patient (.3%) who was inexaminable (Glasgow coma scale score = 6). The remaining (n = 5) had M1CT due to a neurologic decline; 4 patients (80%) of the 5 had worsening of ICH; and neurosurgical intervention was performed in 3 (75%) of the 4 patients. Conclusions The practice of multiple repeat head computed tomographic scans should be limited to inexaminable patients or patients with neurological deterioration.

AB - Background The practice of a routine repeat head computed tomographic scans in patients with traumatic brain injury (TBI) is under question. The aim of our study was to evaluate the utility of a more than 1 repeat head computed tomography (M1CT) scans in patients with TBI. Methods We performed a 3-year analysis of a prospectively collected database of all TBI patients presenting to our level I trauma center. Patients who received M1CT scans were included. Findings and reason (without neurologic decline vs after neurologic decline) for M1CT were recorded. Primary outcome measure was neurosurgical intervention. Results A total of 296 patients that underwent M1CT were included. Of those, 291 patients (98.6%) had M1CT without a neurologic decline, and neurosurgical intervention was performed in 1 patient (.3%) who was inexaminable (Glasgow coma scale score = 6). The remaining (n = 5) had M1CT due to a neurologic decline; 4 patients (80%) of the 5 had worsening of ICH; and neurosurgical intervention was performed in 3 (75%) of the 4 patients. Conclusions The practice of multiple repeat head computed tomographic scans should be limited to inexaminable patients or patients with neurological deterioration.

KW - More than 1 repeat scans

KW - Neurologic decline

KW - Neurosurgical intervention

KW - Radiological progression

KW - Serial CT scans

KW - Traumatic brain injury

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