+ Translate
+ Most Popular
The pigeon tick (Argas reflexus): its biology, ecology, and epidemiological aspects
Prevalence of hemoglobin abnormalities in Kebili (Tunisian South)
Lipogranuloma: a preventable complication of dacryocystorhinostomy
Value of basal plasma cortisol assays in the assessment of pituitary-adrenal insufficiency
Bees from the Belgian Congo. The acraensis group of Anthophora
Placing gingival retraction cord
Total serum IgE, allergy skin testing, and the radioallergosorbent test for the diagnosis of allergy in asthmatic children
Acariens plumicoles Analgesoidea parasites des oiseaux du Maroc
Injuries of terminal phalanges of the fingers in children
Biology of flowering and nectar production in pear (Pyrus communis)
Das Reliktvorkommen der Aspisviper (Vipera aspis L.) im Schwarzwald
Hydrological modelling of drained blanket peatland
Pathologic morphology and clinical significance of the anomalous origin of the left circumflex coronary artery from the right coronary artery. General review and autopsy analysis of 30 cases
Cyto genetic analyses of lymphocyte cultures after exposure to calcium cyclamate
Axelrodia riesei, a new characoid fish from Upper Rio Meta in Colombia With remarks concerning the genus Axelrodia and description of a similar, sympatric, Hyphessobrycon-species
Favorable evolution of a case of tuberculosis of pancreas under antibiotic action
RIFM fragrance ingredient safety assessment, Valencene, CAS Registry Number 4630-07-3
Parenteral microemulsions: an overview
Temperate pasture: management for grazing and conservation
Evaluation of a new coprocessed compound based on lactose and maize starch for tablet formulation
Thermal expansion and cracking of three confined water-saturated igneous rocks to 800C
Revision of the genera of the tribe Stigmoderini (Coleoptera: Buprestidae) a discussion of phylogenetic relationships
Anal tuberculosis. Report of a case
Gastric tuberculosis in the past and present
Adaptive responses of the cardiovascular system to prolonged spaceflight conditions: assessment with Holter monitoring

Criteria for Performing Cranial Computed Tomography for Chinese Patients With Mild Traumatic Brain Injury: Canadian Computed Tomography Head Rule or New Orleans Criteria?

Criteria for Performing Cranial Computed Tomography for Chinese Patients With Mild Traumatic Brain Injury: Canadian Computed Tomography Head Rule or New Orleans Criteria?

Journal of Craniofacial Surgery 28(6): 1594-1597

ISSN/ISBN: 1049-2275

PMID: 28692515

DOI: 10.1097/scs.0000000000003759

Computed tomography (CT) provides the primary diagnostic evidence for traumatic brain injury (TBI), but few positive traumatic findings are discovered in patients with mild TBI. In China, there are no existing criteria for selecting patients with mild TBI to undergo CT, and almost all of these patients undergo cranial CT in the emergency department. This retrospective study was performed to evaluate the necessity of cranial CT among patients with mild TBI, as well as the feasibility of 2 popular criteria (Canadian CT head rule [CCHR] and New Orleans Criteria [NOC]) in China. Patients with mild TBI who underwent cranial CT within 24 hours of the trauma were included in our institute. Two neurosurgeons reviewed the CT images independently to identify positive CT findings. The sensitivity and specificity of CCHR and NOC for positive CT findings related to TBI were analyzed. Finally, this study included 625 patients. Positive CT findings related to TBI were discovered in 13.12% (82/625) of these patients on cranial CT, and 6.88% (43/625) of them were admitted to the hospital for further management. Ultimately, 11 patients (1.76%, 11/625) underwent neurosurgery. In this study, the sensitivities of both the CCHR and NOC were 100%, but the specificity of CCHR was 43.36% and that of NOC was 33.12%. Based on our study, both CCHR and NOC have high sensitivity for the detection of positive CT findings related to head trauma in patients with mild TBI.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 059564360

Download citation: RISBibTeXText

Related references

Performance of the Canadian CT Head Rule and the New Orleans Criteria for predicting any traumatic intracranial injury on computed tomography in a United States Level I trauma center. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine 19(1): 2-10, 2012

Awareness and use of the Canadian computed tomography head rule for mild head injury patients among Chinese emergency physicians. Pakistan Journal of Medical Sciences 29(4): 951-956, 2013

Canadian CT head rule and New Orleans Criteria in mild traumatic brain injury: comparison at a tertiary referral hospital in Japan. Springerplus 5: 176, 2016

The Applicability of New Orleans Criteria for Head Computed Tomography in Inpatient Falls With Injury. Neurohospitalist 9(4): 197-202, 2019

A decision rule with 7 clinical criteria identified patients with minor head injury who did not need computed tomography. Evidence-Based Medicine 6(2): 62-62, 2001

High yield criteria for emergency cranial computed tomography in adult patients with no history of head injury. Journal of Accident and Emergency Medicine 17(1): 15-17, 2000

Efficacy of Canadian computed tomography head rule in predicting the need for a computed-axial tomography scans among patients with suspected head injuries. International Journal of Critical Illness and Injury Science 2(3): 163-166, 2012

Adapting the Canadian CT head rule age criteria for mild traumatic brain injury. Emergency Medicine Journal: Emj 36(10): 617-619, 2019

The role of repeat head computed tomography in the management of mild traumatic brain injury patients with a positive initial head CT. Medical Journal of Malaysia 67(3): 305-308, 2012

Impact of Single-Photon Emission Computed Tomography/Computed Tomography (SPECT/CT) and Positron Emission Tomography/Computed Tomography (PET/CT) in the Diagnosis of Traumatic Brain Injury (TBI): Case Report. Puerto Rico Health Sciences Journal 35(3): 170-172, 2016

Impact of clinical decision support on head computed tomography use in patients with mild traumatic brain injury in the ED. American Journal of Emergency Medicine 33(3): 320-325, 2015

Modified decision-making rule supported by scheduled telephone follow-up reduces head computed tomography utilization in children with mild traumatic brain injury: A cohort study. Medicine 99(18): E20088, 2020

Computed tomography of the head in children with mild traumatic brain injury. American Surgeon 80(9): 841-843, 2014

Does distracting pain justify performing brain computed tomography in multiple traumas with mild head injury?. Emergency Radiology 23(3): 241-244, 2016

Development of a Clinical Decision Rule for the Early Safe Discharge of Patients with Mild Traumatic Brain Injury and Findings on Computed Tomography Brain Scan: A Retrospective Cohort Study. Journal of Neurotrauma 37(2): 324-333, 2020