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An observational study of compliance with the Scandinavian guidelines for management of minimal, mild and moderate head injury.

https://arctichealth.org/en/permalink/ahliterature125168
Source
Scand J Trauma Resusc Emerg Med. 2012;20:32
Publication Type
Article
Date
2012
Author
Ben Heskestad
Knut Waterloo
Tor Ingebrigtsen
Bertil Romner
Marianne Efskind Harr
Eirik Helseth
Author Affiliation
Department of Neurosurgery, Oslo University Hospital-Ullevål, Oslo, Norway.
Source
Scand J Trauma Resusc Emerg Med. 2012;20:32
Date
2012
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Craniocerebral Trauma - diagnosis - therapy
Diagnostic Imaging
Disease Management
Female
Guideline Adherence
Hospitals, University
Humans
Infant
Infant, Newborn
Male
Middle Aged
Norway
Practice Guidelines as Topic
Young Adult
Abstract
The Scandinavian guidelines for management of minimal, mild and moderate head injuries were developed to provide safe and cost effective assessment of head injured patients. In a previous study conducted one year after publication and implementation of the guidelines (2003), we showed low compliance, involving over-triage with computed tomography (CT) and hospital admissions. The aim of the present study was to investigate guideline compliance after an educational intervention.
We evaluated guideline compliance in the management of head injured patients referred to the University Hospital of Stavanger, Norway. The findings from the previous study in 2003 were communicated to the hospitals physicians, and a feed-back loop training program for guideline implementation was conducted. All patients managed during the months January through June in the years 2005, 2007 and 2009 were then identified with an electronic search in the hospitals patient administrative database, and the patient files were reviewed. Patients were classified according to the Head Injury Severity Scale, and the management was classified as compliant or not with the guideline.
The 1 180 patients were 759 (64%) males and 421 (36%) females with a mean age of 31.5 (range 0-97) years. Over all, 738 (63%) patients were managed in accordance with the guidelines and 442 (37%) were not. Compliance was not significantly different between minimal (56%) and mild (59%) injuries, while most moderate (93%) injuries were managed in accordance with the guidelines (p
Notes
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PubMed ID
22510221 View in PubMed
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[A sociological evaluation of medical care measures in craniocerebral trauma].

https://arctichealth.org/en/permalink/ahliterature182502
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2003 Sep-Oct;(5):40-2
Publication Type
Article
Author
A I Babenko
G G Orekhova
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2003 Sep-Oct;(5):40-2
Language
Russian
Publication Type
Article
Keywords
Craniocerebral Trauma - diagnosis - rehabilitation - therapy
Humans
Middle Aged
Patient satisfaction
Quality of Health Care
Questionnaires
Russia
Trauma Severity Indices
Abstract
According to a questionnaire of 830 patients and 153 neurologists, both a timely asking for medical care and a timely treatment at specialized neurology hospitals are the key factor that cuts the rate of complications in craniocerebral trauma. Finally, a differential approach to treatment schemes with due respect to a trauma severity, availability of rehabilitation centers and application of new medical technologies, e.g. cranio-sacral therapy, are equally important.
PubMed ID
14661418 View in PubMed
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[Assessment of medical care quality in craniocerebral trauma on the base of data analysis].

https://arctichealth.org/en/permalink/ahliterature260355
Source
Vestn Khir Im I I Grek. 2014;173(4):95-7
Publication Type
Article
Date
2014
Author
O V Moguchaia
E K Gumanenko
I A Simonova
V V Shchedrenok
O V Romashova
T A Kaurova
Source
Vestn Khir Im I I Grek. 2014;173(4):95-7
Date
2014
Language
Russian
Publication Type
Article
Keywords
Adult
Child
Craniocerebral Trauma - diagnosis - therapy
Health Care Surveys
Hospitalization - statistics & numerical data
Humans
Medical Records - standards - statistics & numerical data
Needs Assessment
Outcome Assessment (Health Care) - methods - statistics & numerical data
Quality of Health Care - standards - statistics & numerical data
Russia
Abstract
An analysis of 658 medical records of inpatient treatment from 15 hospitals of St.Petersburg was made using a computer-aided technology of the assessment of medical care quality. It was revealed that a proper quality of medical care in craniocerebral trauma was only in 52.9% cases. Different defects of medical care were noted in the rest of observations. It influenced on the condition of the patients (1.0%), the delivery and assessment of health care (40% and 38%, respectively), health resources (18%), social resources (1.0%). Defects of medical records were indicated in 38% patients. It caused a reduction of medical care. Risks of occurrence of medical care defects are low in children hospitals in the case of combined craniocerebral trauma.
PubMed ID
25552116 View in PubMed
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Source
Lancet. 2001 Sep 22;358(9286):1013; author reply 1014
Publication Type
Article
Date
Sep-22-2001
Author
I. Maharaj
L. Tosiello
Source
Lancet. 2001 Sep 22;358(9286):1013; author reply 1014
Date
Sep-22-2001
Language
English
Publication Type
Article
Keywords
Canada
Craniocerebral Trauma - diagnosis
Follow-Up Studies
Humans
Sensitivity and specificity
Tomography, X-Ray Computed
Notes
Comment On: Lancet. 2001 May 5;357(9266):1391-611356436
PubMed ID
11586988 View in PubMed
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Source
Lancet. 2001 Sep 22;358(9286):1013-4
Publication Type
Article
Date
Sep-22-2001
Author
M J Haydel
Source
Lancet. 2001 Sep 22;358(9286):1013-4
Date
Sep-22-2001
Language
English
Publication Type
Article
Keywords
Canada
Craniocerebral Trauma - diagnosis
Glasgow Coma Scale
Humans
Practice Guidelines as Topic
Tomography, X-Ray Computed - utilization
Notes
Comment On: Lancet. 2001 May 5;357(9266):1391-611356436
PubMed ID
11586987 View in PubMed
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[Can the HSAN live upp to its goals?].

https://arctichealth.org/en/permalink/ahliterature179747
Source
Lakartidningen. 2004 May 19;101(21-22):1936-7
Publication Type
Article
Date
May-19-2004
Author
Carl-Henrik Nordström
Author Affiliation
Neurokirurgiska kliniken, Universitetssjukhuset i Lund. carl-henrik.nordstrom@neurokir.lu.se
Source
Lakartidningen. 2004 May 19;101(21-22):1936-7
Date
May-19-2004
Language
Swedish
Publication Type
Article
Keywords
Clinical Competence
Craniocerebral Trauma - diagnosis
Evidence-Based Medicine
Humans
Malpractice
Medical Errors
Practice Guidelines as Topic
Sweden
PubMed ID
15190762 View in PubMed
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[Clinical diagnosis and treatment of pediatric head trauma].

https://arctichealth.org/en/permalink/ahliterature170644
Source
No Shinkei Geka. 2006 Feb;34(2):135-46
Publication Type
Article
Date
Feb-2006
Author
Takashi Araki
James M Drake
James T Rutka
Peter B Dirks
Hiroyuki Yokota
Yasuhiro Yamamoto
Author Affiliation
Division of Neurosurgery, The Hospital for Sick Children.
Source
No Shinkei Geka. 2006 Feb;34(2):135-46
Date
Feb-2006
Language
Japanese
Publication Type
Article
Keywords
Child
Craniocerebral Trauma - diagnosis - therapy
Humans
Neurosurgery - trends
Ontario
PubMed ID
16485559 View in PubMed
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Concussive symptoms in emergency department patients diagnosed with minor head injury.

https://arctichealth.org/en/permalink/ahliterature153037
Source
J Emerg Med. 2011 Mar;40(3):262-6
Publication Type
Article
Date
Mar-2011
Author
John Cunningham
Robert J Brison
William Pickett
Author Affiliation
Department of Community Health and Epidemiology, Queen's University, Kingston, Ontario, Canada.
Source
J Emerg Med. 2011 Mar;40(3):262-6
Date
Mar-2011
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Distribution
Cohort Studies
Craniocerebral Trauma - diagnosis - epidemiology - physiopathology
Emergency Service, Hospital
Emergency Treatment - methods
Female
Follow-Up Studies
Glasgow Coma Scale
Hospitals, Urban
Humans
Incidence
Injury Severity Score
Male
Middle Aged
Ontario
Patient Discharge
Post-Concussion Syndrome - diagnosis - epidemiology
Prospective Studies
Risk assessment
Sex Distribution
Time Factors
Young Adult
Abstract
Evidence-based protocols exist for Emergency Department (ED) patients diagnosed with minor head injury. These protocols focus on the need for acute intervention or in-hospital management. The frequency and nature of concussive symptoms experienced by patients discharged from the ED are not well understood.
To examine the prevalence and nature of concussive symptoms, up to 1 month post-presentation, among ED patients diagnosed with minor head injury.
Eligible and consenting patients presenting to Kingston EDs with minor head injury (n = 94) were recruited for study. The Rivermead Post-Concussion Symptoms Questionnaire was administered at baseline and at 1 month post-injury to assess concussive symptoms. This analysis focused upon acute and ongoing symptoms.
Proportions of patients reporting concussive symptoms were 68/94 (72%) at baseline and 59/94 (63%) at follow-up. Seventeen percent of patients (18/102) were investigated with computed tomography scanning during their ED encounter. The prevalence of somatic symptoms declined between baseline and follow-up, whereas some cognitive and emotional symptoms persisted.
The majority of patients who present to the ED with minor head injuries suffer from concussive symptoms that do not resolve quickly. This information should be incorporated into discharge planning for these patients.
PubMed ID
19157755 View in PubMed
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Development of a provincial guideline for the acute assessment and management of adult and pediatric patients with head injuries.

https://arctichealth.org/en/permalink/ahliterature163015
Source
Can J Surg. 2007 Jun;50(3):187-94
Publication Type
Article
Date
Jun-2007
Author
Matthew O Hebb
David B Clarke
John M Tallon
Author Affiliation
Department of Surgery, Division of Neurosurgery, Dalhousie University, Halifax, NS, Canada.
Source
Can J Surg. 2007 Jun;50(3):187-94
Date
Jun-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Child
Child, Preschool
Craniocerebral Trauma - diagnosis - therapy
Emergency Medical Services - standards
Emergency Medicine - standards
Emergency Service, Hospital - standards
Glasgow Coma Scale
Humans
Infant
Infant, Newborn
Nova Scotia
Patient transfer
Quality Assurance, Health Care
Questionnaires
Referral and Consultation
Resuscitation
Tomography, X-Ray Computed
Abstract
Regionalized approaches to trauma care improve patient outcomes. We developed and distributed a clinical reference poster to standardize the emergency department evaluation and management of patients with traumatic head injuries in hospitals throughout Nova Scotia.
We conducted a MEDLINE literature search to identify publications in the fields of prehospital and emergency management of head injuries. We reviewed and collated select studies to define contemporary standards of care.
We derived a 3-tiered decision tool that summarizes the indications for resuscitation, radiography, specialty consultation and transfer of adult and pediatric patients with minor and major head injuries. A guideline poster was constructed and distributed to all provincial emergency departments upon approval by local trauma and critical care staff.
This report describes the evidence for a population-based, province-wide assessment and early management tool that was developed for health care personnel who treat patients with head traumas. Comparison of outcome data from pre- and postguideline eras will ultimately shed light on the use of regionalized approaches to managing brain injuries.
Notes
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PubMed ID
17568490 View in PubMed
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58 records – page 1 of 6.