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• W1644479908 abstract "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.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.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.The practice of multiple repeat head computed tomographic scans should be limited to inexaminable patients or patients with neurological deterioration." @default.
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• W1644479908 date "2015-12-01" @default.
• W1644479908 modified "2023-10-16" @default.
• W1644479908 title "A second look at the utility of serial routine repeat computed tomographic scans in patients with traumatic brain injury" @default.
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• W1644479908 doi "https://doi.org/10.1016/j.amjsurg.2015.07.004" @default.
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