Clinical decision rules for adults 2011 HARNAN.pdf (250.74 kB)
Download fileClinical decision rules for adults with minor head injury: a systematic review
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posted on 2020-02-25, 10:53 authored by Susan HarnanSusan Harnan, Alastair PickeringAlastair Pickering, 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 aimed 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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