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Anstalt \u00f6ffentlichen Rechts","id":[{"id":"https:\/\/ror.org\/006k2kk72","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Leichte Sch\u00e4delhirntraumata (SHT) nach Niedrigrasanztraumata, wie ebenerdigen St\u00fcrzen, betreffen h\u00e4ufig \u00e4ltere Patienten in der Notaufnahme. Aufgrund des demografischen Wandels ist mit der Zunahme dieser Traumafolge in Notaufnahmen zu rechnen. Ziel der vorliegenden Studie war die Entwicklung eines evidenzbasierten Diagnostikalgorithmus f\u00fcr Patienten \u2265\u202f65\u00a0Jahre mit leichtem SHT, die sich in der Notaufnahme vorstellen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>\n                      F\u00fcr drei diagnostische Fragestellungen wurden\n                      <jats:italic>Systematic Reviews<\/jats:italic>\n                      mit Literaturrecherchen in MEDLINE (Englisch\/Deutsch) und einer\u00a0Handsuche der  Quellenangaben\u00a0durchgef\u00fchrt. Studien wurden mit dem\n                      <jats:italic>Methodological Index for Non-randomized Studies<\/jats:italic>\n                      bewertet. Die Datensynthese erfolgte mittels\n                      <jats:italic>vote counting based on direction of effect<\/jats:italic>\n                      und der\u00a0Bewertung klinischer Einflussfaktoren.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Aus der Datenbanksuche wurden 52\u00a0Studien mit 142.037 Patienten eingeschlossen. F\u00fcr die initiale kraniale Bildgebung mittels cCT k\u00f6nnte ein Vorgehen anhand von sechs klinischen Einflussfaktoren eine Alternative zur routinem\u00e4\u00dfigen Bildgebung darstellen. Bei asymptomatischen, neurologisch unauff\u00e4lligen Patienten ist eine neurologische \u00dcberwachung ohne standardisierte Kontroll-cCT denkbar; zur optimalen Gestaltung liegen jedoch keine belastbaren Daten vor. Die Modalit\u00e4ten einer neurologischen \u00dcberwachung m\u00fcssen weiter untersucht werden. Die Rolle von Antikoagulation und Thrombozytenaggregationshemmung bleibt unklar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Die Ergebnisse bilden eine Grundlage f\u00fcr einen Algorithmus zur Diagnostik des leichten SHT bei \u00e4lteren Patienten. Die evidenzbasierte Ausgestaltung der neurologischen \u00dcberwachung sowie der Einfluss von Gerinnungsmedikation erfordern weitere Forschung.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00113-026-01737-4","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T07:17:42Z","timestamp":1785741462000},"page":"696-708","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostikalgorithmus f\u00fcr das Vorgehen bei Patient:innen \u00fcber 65\u00a0Jahren mit leichtem Sch\u00e4delhirntrauma in der Notaufnahme","Diagnostic algorithm for the management of patients \u2265\u202f65\u00a0years with a\u00a0mild traumatic brain injury in the emergency department"],"prefix":"10.1007","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6323-3747","authenticated-orcid":false,"given":"Anne","family":"Neubert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"G\u00f6ldner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2197-3891","authenticated-orcid":false,"given":"Stefanie","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1179-7943","authenticated-orcid":false,"given":"Michael","family":"Bernhard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2188-3861","authenticated-orcid":false,"given":"Carina","family":"Jaekel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9285-7746","authenticated-orcid":false,"given":"Denise","family":"Schulz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Windolf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0708-1259","authenticated-orcid":false,"given":"Dan","family":"Bieler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"issue":"3","key":"1737_CR1","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1046\/j.1468-1331.2002.00407.x","volume":"9","author":"PE Vos","year":"2002","unstructured":"Vos\u00a0PE, Battistin\u00a0L, Birbamer\u00a0G, Gerstenbrand\u00a0F, Potapov\u00a0A, Prevec\u00a0T et\u00a0al (2002) EFNS guideline on mild traumatic brain injury: report of an EFNS task force. 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