Aukelien Jacobs, Leo Kluijtmans, Niels Schoenmaker, Jeroen G Veldhuis, Jolita Bekhof
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引用次数: 0
Abstract
Objective: Evaluating the safety of a more expectative approach than described in the guideline 'Mild traumatic head/brain injury' (mTBI) within children.
Design: Retrospective chart review.
Method: Children (0-18 years) with mTBI, who visited the emergency department of Isala between December 2018 and July 2022, were included. Outcomes were the percentages of hospital admissions; CT-scans; intracranial hemorrhage, neurosurgical interventions and adherence to the national guideline.
Results: 704 patients with mTBI were included. Hospital admissions and CT-scans were performed in 67.5% and 6.7%, respectively. Intracranial hemorrhage was found in 13 patients (1.8%) and 2 patients (0.3%) underwent a neurosurgical intervention. Guideline adherence was 34.5%. Non-adherence to the guideline existed of choosing for a hospital admission even though a CT-scan was indicated.
Conclusion: The adherence to the guideline mTBI was poor. An expectative approach without initial imaging was sufficiently safe.
期刊介绍：
Het NTVG staat bekend als hét wetenschappelijke algemene medische tijdschrift. De lange historie en de degelijkheid maken het tijdschrift tot een bolwerk van medische wetenschap in druk. Ook door de goede leesbaarheid draagt het tijdschrift bij aan de voortdurende dialoog over de geneeskunde.
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