1. Diagnostic approach to children with minor traumatic brain injury.
- Author
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Oster I, Shamdeen GM, Ziegler K, Eymann R, Gortner L, and Meyer S
- Subjects
- Adolescent, Algorithms, Brain Concussion diagnosis, Brain Concussion therapy, Child, Child, Preschool, Echoencephalography statistics & numerical data, Female, Germany, Health Services Research, Humans, Infant, Magnetic Resonance Imaging statistics & numerical data, Male, Monitoring, Physiologic statistics & numerical data, Patient Admission statistics & numerical data, Prognosis, Signal Processing, Computer-Assisted, Surveys and Questionnaires, Tomography, X-Ray Computed statistics & numerical data, Utilization Review statistics & numerical data, Brain Injuries diagnosis, Brain Injuries therapy, Diagnostic Imaging statistics & numerical data, Electroencephalography statistics & numerical data, Glasgow Coma Scale statistics & numerical data, Head Injuries, Closed diagnosis, Head Injuries, Closed therapy, Neurologic Examination statistics & numerical data
- Abstract
Study Purpose: To analyse the management of minor traumatic brain injury (MTBI) in paediatric hospitals in Germany., Methods: An electronic survey was sent to 72 children hospitals., Results: All participating (45/72; 62.5 %) hospitals had facilities to perform an electroencephalogram (EEG), 98 % cranial ultrasonography, 94 % MRI studies, and 87 % a CT scan. The initial Glasgow Coma Scale, the clinical presentation/neurological deficits, the intensity of the trauma and external/visible injuries were most important for initial assessment. The main reason for in-patient monitoring was initial clinical neurologic presentation (44 %). X-ray scans were used routinely in only 2.2 %, cMRI scans in 6.7 % and cCT scans in 13.3 %; approximately one third employed ultrasonography. In 22.2 % was an EEG part of the routine diagnostic work-up. Inpatient monitoring for 24-48 h was done in 80 %., Conclusions: Children with MTBI are often monitored clinically without resorting to potentially harmful and expensive diagnostic procedures (cCT scans).
- Published
- 2012
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