Excluding severe intracranial injury in adults with minor head trauma

Exclure les lésions cérébrales sévères après un traumatisme crânien léger

This KCE has read for you was prepared by Dominique Roberfroid and Lorena San Miguel

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KEY MESSAGES FROM THE PUBLICATION

  • Although most adult patients with minor head trauma will not have a serious intracranial injury, CT scan is often used in the diagnosis process.
  • The New Orleans Criteria and the Canadian CT Head Rule are two clinical decision rules which reliably detect adult patients with very low risk of serious intracranial injury. For these patients a CT can in this way be avoided.
  • In a study population with a prevalence of 7.1% (95%CI: 6.8%-7.4%) of severe intracranial injury following a minor head trauma, the absence of any of the features of the Canadian CT Head Rule lowered the probability of severe injury to 0.31% (95%CI: 0%-4.7%). The absence of all the New Orleans Criteria findings lowered it to 0.61% (95%CI: 0.08%-6.0%).
  • Combinations of history and physical examination features in clinical decision rules can identify patients with minor head trauma at low risk of severe intracranial injuries. Applying such clinical decision rules could allow limiting the number of CT Scans.
What is KCE has read for you?

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KCE has read for you synthesises a recently published high-quality systematic review or health technology assessment with relevance for the Belgian health system.

The original publication was appraised and contextualised by KCE researchers. KCE has read for you is not based on original research conducted by KCE.

More details on methodology can be found on the KCE website.

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This document includes

  • Key findings of the publication under evaluation
  • A contextualisation within the Belgian healthcare system
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Trustworthy original publication

The methodological quality of the systematic review was assessed with the AMSTAR tool.

CONTACT PERSON
Gudrun BRIAT (NL)
Communication Manager for the KCE
+32 (0)2 287 33 54 (FR: 33 48)
Published on: 
2016/12/06