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This observational study aims to calculate the prevalence of conditions or diseases requiring immediate medical attention in CTC scans with an indication of bleeding post trauma performed in the ED at Odense University Hospital. Secondary, we aim to evaluate the Scandinavian Neurotrauma Committee clinical guideline 2013 for minor head injury.
In this retrospective study, our primary objectives are threefold: first, to calculate the prevalence of conditions or diseases requiring immediate medical attention and to subdivide them to explore potential correlations with biochemical, clinical, and patient baseline variables using multiple regression analysis. Secondly, we wanted to analyze our use of SNC CPG and evaluate if a more stringent application could reduce the potentially unnecessary overuse of CTC. Lastly, we aim to evaluate the 30-day mortality and readmission rates to a hospital following CTC performed in the ED.
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| Measure | Description | Time Frame |
|---|---|---|
| Positive CTC | Calculate the prevalence of positive CTC findings and to subdivide them to explore potential correlations with biochemical, clinical, and patient baseline variables. The CT scan was acknowledged as positive if the final radiologic interpretation of all imaging studies reported one or more listed radiological findings:
| 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Scandinavian Neurotrauma Committee clinical practice guideline evaluation | We wanted to analyze our use of SNC CPG and evaluate if a more stringent application could reduce the potentially unnecessary overuse of CTC | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| 30-day mortality and readmission rate | We aim to evaluate the 30-day mortality and readmission rates to a hospital following CTC performed in the ED. | 1 year |
| Neurological intervention | The need for neurological intervention was defined as within 7 days requiring 1) neurosurgical intervention (e.g., craniotomy, hematoma evacuation, elevation of skull fracture, intracranial pressure monitoring, or intubation for head injuries indicated on CT) or 2) neuroradiological intervention (e.g., thrombectomy or intravascular embolization). |
Inclusion Criteria:
Exclusion Criteria:
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CTCs conducted from 01.01.2023 to 31.12.2023 at Odense University Hospital (OUH) Emergency Department (ED) in Denmark.
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| Name | Affiliation | Role |
|---|---|---|
| Jonas Junghans Jensen | UNIFY, University Hospital Odense, Univeristy of Southern Denmark, OPEN | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Odense University Hospital | Odense | Region Syddanmark | 5000 | Denmark |
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| ID | Term |
|---|---|
| D006259 | Craniocerebral Trauma |
| D004630 | Emergencies |
| D000070642 | Brain Injuries, Traumatic |
| ID | Term |
|---|---|
| D020196 | Trauma, Nervous System |
| D009422 | Nervous System Diseases |
| D014947 | Wounds and Injuries |
| D020969 | Disease Attributes |
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| 1 year |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |