{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T09:12:09Z","timestamp":1712913129103},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T00:00:00Z","timestamp":1340841600000},"content-version":"unspecified","delay-in-days":878,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2010,2]]},"abstract":"Abstract<\/jats:title>Introduction:<\/jats:bold><\/jats:title>The ability to discriminate among a large number of patients with mild head injury to detect those most likely to have an intracranial abnormality may offer an advantage in mass-casualty situations and when clinical needs exceed diagnostic capabilities.<\/jats:p><\/jats:sec>Hypothesis:<\/jats:bold><\/jats:title>In patients with mild head injury (Glasgow Coma Scale score = 13\u221215), the likelihood of intracranial abnormality, as defined by cranial computed tomography (CT), varies according to presenting neurologic signs and symptoms.<\/jats:p><\/jats:sec>Methods:<\/jats:bold><\/jats:title>This prospective study consisted of 152 patients with blunt head trauma and one or more of the following: initial loss of consciousness (LOC), headache, vomiting, convulsions, or amnesia. All underwent cranial CT within one hour of presentation. Positive CT findings were defined as cerebral contusion, extra-axial hematoma, intra-ventricular or subarachnoid hemorrhage, brain edema, and skull fracture. Clinical findings were tabulated and compared with CT findings.<\/jats:p><\/jats:sec>Results:<\/jats:bold><\/jats:title>The most common symptoms were headache (61%) followed by followed by LOC (45%), vomiting (39%), amnesia (29%), and convulsions (4%). Convulsions were the most predictive of a CT positive finding (80%); history of LOC was least predictive (29%). The presence of two or more clinical findings tended to increase the likelihood of intracranial abnormality, but the association was neither consistent nor additive.<\/jats:p><\/jats:sec>Conclusions:<\/jats:bold><\/jats:title>Convulsions occurring in a patient with mild head injury are highly predictive of a positive intracranial finding on CT. Headache, amnesia, and vomiting are each likely to show positive findings in approximately 40\u201345% of cases. Although the least predictive of the neurologic findings studied, loss of consciousness still correlates with a positive cranial CT in 29% of cases. More than one sign or symptom increases the likelihood of concurrent brain injury.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x00007676","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T07:53:03Z","timestamp":1472025183000},"page":"59-62","source":"Crossref","is-referenced-by-count":3,"title":["Prospective Study of Validity of Neurologic Signs in Predicting Positive Cranial Computed Tomography following Minor Head Trauma"],"prefix":"10.1017","volume":"25","author":[{"given":"Yassir S. Abdul","family":"Rahman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed Sami S.","family":"Al Den","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimball I.","family":"Maull","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,6,28]]},"reference":[{"key":"S1049023X00007676_ref006","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2000.tb02260.x"},{"key":"S1049023X00007676_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(94)90001-9"},{"key":"S1049023X00007676_ref002","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199209000-00009"},{"key":"S1049023X00007676_ref001","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199104000-00006"},{"key":"S1049023X00007676_ref005","first-page":"14","article-title":"Cranial computed tomography and observation are redundant in the management of minor head trauma","volume":"8","author":"Sheehan","year":"1999","journal-title":"Panam J Trauma"},{"key":"S1049023X00007676_ref008","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(94)70273-X"},{"key":"S1049023X00007676_ref003","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200007133430204"},{"key":"S1049023X00007676_ref010","unstructured":"10.National Institute for Health and Clinical Excellence: Head injury: Triage, assessment, investigation and early management of head injury in infants, children and adults (NICE clinical guideline 56), Available at http:\/\/www.nice.org.uk. ISBN 1-4629-476-2."},{"key":"S1049023X00007676_ref007","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.153.1.15"},{"key":"S1049023X00007676_ref004","first-page":"1394","article-title":"The Canadian CT head rule for patients with minor head injury","volume":"357","author":"Wells","year":"2001","journal-title":"Lancet"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X00007676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,28]],"date-time":"2019-04-28T20:47:36Z","timestamp":1556484456000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X00007676\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,2]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2010,2]]}},"alternative-id":["S1049023X00007676"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x00007676","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,2]]}}}