EVALUATION OF THE CANADIAN CT HEAD RULE FOR ANALYZING DIAGNOSTIC ACCURACY IN PATIENTS 4 WITH MINOR HEAD TRAUMA

Autor:	Berihat Kızılgöz, Türkhun Çetin, Ali Kemal Sivrioglu, Sema Avcı, Volkan Kızılgöz, Hasan Aydin
Rok vydání:	2019
Předmět:	medicine.medical_specialty Head (linguistics) Traumatic brain injury business.industry Retrospective cohort study General Medicine medicine.disease Minor head trauma Head trauma Radiological weapon medicine Chi-square test In patient Radiology business
Zdroj:	MNJ (Malang Neurology Journal). 5:68-75
ISSN:	2442-5001 2407-6724
Popis:	Background: Head computed tomography (CT) scans, which provide reliable information to assessor rule out neurological abnormalities and injuries, should be used judiciously to minimize radiation exposure and cost. Objective: The aim of this study was to evaluate the widely used Canadian CT Head Rule (CCHR) to determine the necessity of head CT scans in patients with minor head trauma. Methods: This retrospective study included 913 patients with head trauma who were admitted to Harakani State Hospital between June 2014 and December 2017. The patient data were reevaluated according to CCHR and compared with the radiological findings. Results: There were a total of 556 patients fulfilling the inclusion criteria with a male/female ratio of 2.95 and a mean age of 37 ± 4.24 years. The most common injury mechanism of head trauma was motor vehicle accidents. Chi square tests were applied for statistical calculations. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of the CCHR were 93%, 88%, 88%, 94%, and 90%, respectively. Conclusion: CCHR was highly useful for patients with minor head trauma who could benefit from head CT evaluation with high sensitivity and specificity.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b7fcc0d62e50a21eb1e0bcf9fe029457 https://doi.org/10.21776/ub.mnj.2019.005.02.4 Zobrazit plný text záznamu