Utility of routine serial computed tomography for blunt intracranial injury

A. Chao, J. Pearl, P. Perdue, D. Wang, A. Bridgeman, S. Kennedy, G. Ling, Peter M Rhee, G. Sinson, C. E M Brathwaite, S. M. Fakhry, T. A. Santora

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Background: To determine the utility of routine serial head computed tomography (H-CT) for predicting need for invasive neurosurgical intervention in patients with blunt intracranial injuries (BICI). Methods: Patients treated at a Level I trauma center with BICI over a 4-year period were reviewed. Results: Of the 4,273 blunt trauma patients evaluated, 9.7% (415/4,273) were diagnosed as having BICI. Invasive intervention (craniotomy, ICP monitoring, ventriculostomy, or angiogram) was performed in 41.2% (171/415) of patients with BICI. Of these, 94.7% (162/171) had the procedure performed as a result of the initial H-CT. The remaining 5.3% (9/171) had the intervention performed as a result of a subsequent H-CT. Serial H-CT documented worsening of BICI in 32.3% (64/198) of the patients, but only those who had significant corresponding clinical deterioration had an invasive procedure as a result. Conclusion: In patients with an unchanged or normal neurologic exam, a routine serial H-CT did not influence subsequent invasive neurosurgical intervention.

Original languageEnglish (US)
Pages (from-to)870-876
Number of pages7
JournalJournal of Trauma
Volume51
Issue number5
StatePublished - 2001
Externally publishedYes

Fingerprint

Nonpenetrating Wounds
Tomography
Head
Ventriculostomy
Craniotomy
Trauma Centers
Nervous System
Angiography
Wounds and Injuries

Keywords

  • Blunt trauma
  • Head computed tomography (H-CT)
  • Intensive care unit
  • Intracranial injury

ASJC Scopus subject areas

  • Surgery

Cite this

Chao, A., Pearl, J., Perdue, P., Wang, D., Bridgeman, A., Kennedy, S., ... Santora, T. A. (2001). Utility of routine serial computed tomography for blunt intracranial injury. Journal of Trauma, 51(5), 870-876.

Utility of routine serial computed tomography for blunt intracranial injury. / Chao, A.; Pearl, J.; Perdue, P.; Wang, D.; Bridgeman, A.; Kennedy, S.; Ling, G.; Rhee, Peter M; Sinson, G.; Brathwaite, C. E M; Fakhry, S. M.; Santora, T. A.

In: Journal of Trauma, Vol. 51, No. 5, 2001, p. 870-876.

Research output: Contribution to journalArticle

Chao, A, Pearl, J, Perdue, P, Wang, D, Bridgeman, A, Kennedy, S, Ling, G, Rhee, PM, Sinson, G, Brathwaite, CEM, Fakhry, SM & Santora, TA 2001, 'Utility of routine serial computed tomography for blunt intracranial injury', Journal of Trauma, vol. 51, no. 5, pp. 870-876.
Chao A, Pearl J, Perdue P, Wang D, Bridgeman A, Kennedy S et al. Utility of routine serial computed tomography for blunt intracranial injury. Journal of Trauma. 2001;51(5):870-876.
Chao, A. ; Pearl, J. ; Perdue, P. ; Wang, D. ; Bridgeman, A. ; Kennedy, S. ; Ling, G. ; Rhee, Peter M ; Sinson, G. ; Brathwaite, C. E M ; Fakhry, S. M. ; Santora, T. A. / Utility of routine serial computed tomography for blunt intracranial injury. In: Journal of Trauma. 2001 ; Vol. 51, No. 5. pp. 870-876.
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