Back to Search Start Over

Variability in the indication of brain CT scan after mild traumatic brain injury. A transnational survey

Authors :
Lagares Gómez-Abascal, Alfonso
Castaño León, Ana María
Richard, Marion
Tsitsopoulos, Parmenion Philip
Morales, Julian
Mihai, Podaru
Pavlov, Vladislav
Mejan, Odile
Cruz, Javier de la
Payen, Jean François
Maignan, Maxime
Jacquin, Laurent
Douplat, Marion
Laribi, Said
Pes, Philippe
Ray, Patrick
Guenezan, Jérémy
Sebbane, Mustapha
Balen, Frédéric
Durand, Guillaume
Abric, Cordelia
Lorca, María Teresa
Ponce, Mariana Garcia
Cuesta, Maite
Alén, Jose A. F.
Lagares Gómez-Abascal, Alfonso
Castaño León, Ana María
Richard, Marion
Tsitsopoulos, Parmenion Philip
Morales, Julian
Mihai, Podaru
Pavlov, Vladislav
Mejan, Odile
Cruz, Javier de la
Payen, Jean François
Maignan, Maxime
Jacquin, Laurent
Douplat, Marion
Laribi, Said
Pes, Philippe
Ray, Patrick
Guenezan, Jérémy
Sebbane, Mustapha
Balen, Frédéric
Durand, Guillaume
Abric, Cordelia
Lorca, María Teresa
Ponce, Mariana Garcia
Cuesta, Maite
Alén, Jose A. F.
Publication Year :
2022

Abstract

CRUE-CSIC (Acuerdos Transformativos 2022)<br />Purpose: Clinical guidelines have been developed to standardize the management of mild traumatic brain injury (mTBI) in the emergency room, in particular the indication of brain CT scan and the use of blood biomarkers. The objective of this study was to determine the degree of adherence to guidelines in the management of these patients across four countries of Southern Europe. Methods: An electronic survey including structural and general management of mTBI patients and six clinical vignettes was conducted. In-charge physicians from France, Spain, Greece and Portugal were contacted by telephone and email. Diferences among countries were searched using an unconditional approach test on contingency tables. Results: One hundred and eighty eight physicians from 131 Hospitals (78 Spain, 36 France, 12 Greece and 5 Portugal) completed the questionnaire. There were diferences regarding the in-charge specialist across these countries. There was variability in the use of guidelines and their adherence. Spain was the country with the least guideline adherence. There was a global agreement in ordering a brain CT for patients receiving anticoagulation or platelet inhibitors, and for patients with seizures, altered consciousness, neurological defcit, clinical signs of skull fracture or signs of facial fracture. Aging was not an indication for CT in French centres. Loss of consciousness and posttraumatic amnesia were considered as indications for CT more frequently in Spain than in France. These fndings were in line with the data from the 6 clinical vignettes. The estimated use of CT reached around 50% of mTBI cases. The use of S100B is restricted to fve French centres. Conclusions: There were large variations in the guideline adherence, especially in the situations considered to order brain CT after mTBI.<br />Depto. de Cirugía<br />Fac. de Medicina<br />TRUE<br />pub

Details

Database :
OAIster
Notes :
application/pdf, 1863-9933, English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1468722634
Document Type :
Electronic Resource