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- W1570789927 abstract "Abstract Introduction Head injury causes significant morbidity and mortality, and there is contention about which patients to scan. The UK N ational H ealth S ervice C linical G uideline (CG) 56 provides criteria for selecting patients with clinically important brain injury who may benefit from a head CT scan, while minimising the radiation and economic burden of scanning patients without significant injury. This study aims to audit the documentation of the use of these guidelines in a busy UK trauma hospital and discusses the comparison with an A ustralian ( N ew S outh W ales ( NSW ) ) head injury guideline. Methods A retrospective cohort study of 480 patients presenting with head injury to the emergency department over 2 months was performed. The patient notes were assessed for documentation of each aspect of the clinical guidelines. Criteria were established to assess the utilisation of the CG 56. A database of clinical data was amalgamated with the head CT scan results for each patient. Results For the UK CG 56, 73% of the criteria were documented, with the least documented being ‘signs of basal skull fracture’ and ‘amnesia of events’. Thirty‐two per cent of patients received head CT and of these, 24% (37 patients) were reported to have pathology. Twenty‐four patients underwent head CT without clinical justification being documented, none of which had reported pathology on CT . Conclusion The study shows that the head injury guidelines are not being fully utilised at a major UK trauma hospital, resulting in 5% of patients being exposed to ionising radiation without apparent documented clinical justification. The NSW guideline has distinct differences to the CG 56, with a more complex algorithm and an absence of specific time frames for head CT completion. The results suggest a need for further education and awareness of head injury clinical guidelines." @default.
- W1570789927 created "2016-06-24" @default.
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- W1570789927 date "2013-01-10" @default.
- W1570789927 modified "2023-10-16" @default.
- W1570789927 title "Head injury: Audit of a clinical guideline to justify head CT" @default.
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- W1570789927 doi "https://doi.org/10.1111/1754-9485.12007" @default.
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