The value of the 'worst' computed tomographic scan in clinical studies of moderate and severe head injury

Franco Servadei; Gordon D. Murray; Kay Penny; Graham M Teasdale; M Dearden; Fausto Iannotti; F Lapierre; A Maas; A Karimi; J  Ohman; L Persson; N Stocchetti

doi:10.1093/neurosurgery/46.1.70

The value of the 'worst' computed tomographic scan in clinical studies of moderate and severe head injury

Franco Servadei^*, Gordon D. Murray, Kay Penny, Graham M Teasdale, M Dearden, Fausto Iannotti, F Lapierre, A Maas, A Karimi, J Ohman, L Persson, N Stocchetti

^*Corresponding author for this work

Health Services Research Unit (HSRU)

Research output: Contribution to journal › Article › peer-review

173 Citations (Scopus)

Abstract

OBJECTIVE: Computed tomographic (CT) scanning can reveal the pattern and severity of structural brain damage after head injury. With the proliferation of CT scanners in general hospitals, and with improvements in patient transport, the interval from injury to the first CT scan is decreasing. The potential result is an “admission” scan missing an evolving and potentially operable lesion. Furthermore, the literature is confusing regarding the timing and coding of CT findings. We sought to establish the frequency of deterioration in CT appearance from an admission scan to subsequent scans and the prognostic significance of such deterioration.

Original language	English
Pages (from-to)	70-77
Journal	Nuerosurgery
Volume	46
Issue number	1
DOIs	https://doi.org/10.1093/neurosurgery/46.1.70
Publication status	Published - Jan 2000

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title = "The value of the 'worst' computed tomographic scan in clinical studies of moderate and severe head injury",

abstract = "OBJECTIVE: Computed tomographic (CT) scanning can reveal the pattern and severity of structural brain damage after head injury. With the proliferation of CT scanners in general hospitals, and with improvements in patient transport, the interval from injury to the first CT scan is decreasing. The potential result is an “admission” scan missing an evolving and potentially operable lesion. Furthermore, the literature is confusing regarding the timing and coding of CT findings. We sought to establish the frequency of deterioration in CT appearance from an admission scan to subsequent scans and the prognostic significance of such deterioration.",

author = "Franco Servadei and Murray, {Gordon D.} and Kay Penny and Teasdale, {Graham M} and M Dearden and Fausto Iannotti and F Lapierre and A Maas and A Karimi and J Ohman and L Persson and N Stocchetti",

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AU - Servadei, Franco

AU - Murray, Gordon D.

AU - Penny, Kay

AU - Teasdale, Graham M

AU - Dearden, M

AU - Iannotti, Fausto

AU - Lapierre, F

AU - Maas, A

AU - Karimi, A

AU - Ohman, J

AU - Persson, L

AU - Stocchetti, N

PY - 2000/1

Y1 - 2000/1

N2 - OBJECTIVE: Computed tomographic (CT) scanning can reveal the pattern and severity of structural brain damage after head injury. With the proliferation of CT scanners in general hospitals, and with improvements in patient transport, the interval from injury to the first CT scan is decreasing. The potential result is an “admission” scan missing an evolving and potentially operable lesion. Furthermore, the literature is confusing regarding the timing and coding of CT findings. We sought to establish the frequency of deterioration in CT appearance from an admission scan to subsequent scans and the prognostic significance of such deterioration.

AB - OBJECTIVE: Computed tomographic (CT) scanning can reveal the pattern and severity of structural brain damage after head injury. With the proliferation of CT scanners in general hospitals, and with improvements in patient transport, the interval from injury to the first CT scan is decreasing. The potential result is an “admission” scan missing an evolving and potentially operable lesion. Furthermore, the literature is confusing regarding the timing and coding of CT findings. We sought to establish the frequency of deterioration in CT appearance from an admission scan to subsequent scans and the prognostic significance of such deterioration.

U2 - 10.1093/neurosurgery/46.1.70

DO - 10.1093/neurosurgery/46.1.70

M3 - Article

SN - 0148-396X

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EP - 77

JO - Nuerosurgery

JF - Nuerosurgery

IS - 1

ER -

The value of the 'worst' computed tomographic scan in clinical studies of moderate and severe head injury

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