A systematic review of clinical decision rulesPCIKERING.pdf (88.17 kB)
Download fileA systematic review of Clinical Decision Rules in the management of adult minor head injury
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posted on 2020-03-03, 16:12 authored by Alastair PickeringAlastair Pickering, Susan HarnanSusan Harnan, Abdullah PandorAbdullah Pandor, Stephen GoodacreStephen GoodacreComputed tomography (CT) of the head is the diagnostic standard for
identifying intracranial injury. Routine CT of all minor head injury patients
would result in a large number of normal CT scans being performed with
associated risks of radiation exposure and waste of health care resources.
Researchers have therefore attempted to derive clinical decision rules to
identify those at risk of intracranial injury based on clinical characteristics
at presentation in order to select them for imaging.
It is currently unclear how existing rules compare in terms of diagnostic
accuracy. This study aims to systematically identify clinical decision rules
for adults with minor head injury and compare the decision/prediction rules
in terms of estimated diagnostic accuracy for any intracranial injury and
injury requiring neurosurgery.
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