Emergency Department Time Course for Mild Traumatic Brain Injury Workup
| Autor: | Edward A Michelson, Ariel Berger, Rosanne Naunheim, J.Stephen Huff, Martha Rahm, Mae Loparo, David W Smith, Joseph Stone, Andrew D. Perron |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Traumatic brain injury lcsh:Medicine Computed tomography Unnecessary Procedures Trauma 03 medical and health sciences 0302 clinical medicine Brain Injuries Traumatic Medicine Humans 030212 general & internal medicine Original Research Retrospective Studies mTBI Time workup medicine.diagnostic_test business.industry lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid Glasgow Coma Scale 030208 emergency & critical care medicine Retrospective cohort study lcsh:RC86-88.9 General Medicine Emergency department Limiting Length of Stay Middle Aged medicine.disease Patient Discharge United States Median time Time course Emergency medicine Emergency Medicine Female business Emergency Service Hospital Tomography X-Ray Computed |
| Zdroj: | Western Journal of Emergency Medicine Michelson, Edward A.; Huff, J. Stephen; Loparo, Mae; Naunheim, Rosanne S.; Perron, Andrew; Rahm, Martha; et al.(2018). Emergency Department Time Course for Mild Traumatic Brain Injury Workup. Western Journal of Emergency Medicine, 19(4). doi: 10.5811/westjem.2018.5.37293. Retrieved from: http://www.escholarship.org/uc/item/4sr349qd Western Journal of Emergency Medicine, Vol 19, Iss 4 (2018) |
| ISSN: | 1936-9018 1936-900X |
| DOI: | 10.5811/westjem.2018.5.37293. |
| Popis: | Author(s): Michelson, Edward A.; Huff, J. Stephen; Loparo, Mae; Naunheim, Rosanne S.; Perron, Andrew; Rahm, Martha; Smith, David W.; Stone, Joseph A; Berger, Ariel | Abstract: Introduction: Mild traumatic brain injury (mTBI) is a common cause for visits to the emergency department (ED). The actual time required for an ED workup of a patient with mTBI in the United States is not well known. National emergency medicine organizations have recommended reducing unnecessary testing, including head computed tomography (CT) for these patients.10Methods: To examine this issue, we developed a care map that included each step of evaluation of mTBI (Glasgow Coma Scale Score 13-15) – from initial presentation to the ED to discharge. Time spent at each step was estimated by a panel of United States emergency physicians and nurses. We subsequently validated time estimates using retrospectively collected, real-time data at two EDs. Length of stay (LOS) time differences between admission and discharged patients were calculated for patients being evaluated for mTBI.Results: Evaluation for mTBI was estimated at 401 minutes (6.6 hours) in EDs. Time related to head CT comprised about one-half of the total LOS. Real-time data from two sites corroborated the estimate of median time difference between ED admission and discharge, at 6.3 hours for mTBI.Conclusion: Limiting use of head CT as part of the workup of mTBI to more serious cases may reduce time spent in the ED and potentially improve overall ED throughput. |
| Databáze: | OpenAIRE |
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