100% patients who had CT scan met NICE criteria while 80% met Scandinavian head injury criteria. The trust spent 17,000 for skr, which could be avoided. Significant number of out of hours CT scans was performed. The number of skr should be reduced and re evaluation will be done after 1...
To the Editor: Dr Smits and colleagues1 generated independently derived data on the performance of both the New Orleans Criteria (NOC) and the Canadian CT Head Rule (CCHR) for the use of computed tomography (CT) in patients with minor head injury. Although it is reassuring that both rules ...
(National Institute for Health and Care Excellence,NICE),适用所有人;加拿大头部CT检查规则(Canadian CT Head Rule,CCHR),排除使用复氧香豆素类药物、凝血障碍或颅骨骨折患者;新奥尔良准测(New Orleans Criteria,NOC),排除GCS评分<15分患者;头部受伤患者CT检查准则(CT in Head injury Patients,CHIP),仅包括意识未...
Haydel, MD JAMA This Week in JAMA This Week in JAMA JAMA Original Contribution Comparison of the Canadian CT Head Rule and the New Orleans Criteria in Patients With Minor Head Injury Ian G. Stiell, MD, MSc, FRCPC; Catherine M. Clement, RN; Brian H. Rowe, MD, MSc; Michael J. Schull...
G. Myriam Hunink, MD, PhD JAMA Abstract Context Current use of cranial computed tomography (CT) for minor head injury is increasing rapidly, highly variable, and inefficient. The Canadian CT Head Rule (CCHR) and New Orleans Criteria (NOC) are previously developed clinical decision rules to ...
A further 9 patients, without meeting the CT criteriawere also transferred.The WHCC has a high number of head injuries annually. When the Canadian CT headguidelines are applied, a greater number of scans are indicated. Some scans, however, inthe minor risk group, could have been avoided. ...
Criteria for Acquisition of Computed Tomography in Mild Head Injury軽症頭部外傷におけるCT施行基準 We examined the criteria for acquiring computed tomography (CT) for mild head injury in Japan, where the number of CT scanner is higher than other countrie... N Shiomi,S Hiraizumi,M Nozawa,......
External validation of the Canadian CT Head Rule and the New Orleans Criteria for CT scanning in patients with minor head injury JAMA, 294 (12) (2005), pp. 1519-1525 CrossrefView in ScopusGoogle Scholar [21] T.A. van Essen, G.C. de Ruiter, K.H. Kho, W.C. Peul Neurosurgical trea...
CTheadisrequiredforindividualswithminorheadinjuryandoneofthefollowcriteria:HighriskneurosurgicalinterventionGCSoflessthan15at2hrsafterinsultSuspecteddepressedoropenskullfractureSignsofbasiliarskullfracture(CSFleak,hemotympanum,periorbitalormastoid ecchymosis)AtleasttwoepisodesofemesisAtleast65yearsageMediumriskforimaging...
Thus the potential impact of the implementation on the NICE guidelines on admission criteria and hence use of resources will also need to be considered. Likewise, some thought will need to the impact on the admission of children with head injuries. Whereas just two children were given a scan ...