{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:23:06Z","timestamp":1767165786757,"version":"build-2238731810"},"reference-count":5,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2025,4]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To describe CT brain (CTB) and neurosurgical management among head injured patients aged \u2265\u200985\u2009years and minimal or no change in Glasgow Coma Scale (GCS).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective cohort study was undertaken using radiology and administrative data from two tertiary referral hospitals.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n There were 3833 patients included and 40% were taking anticoagulant or antiplatelet medications. Acute intracranial abnormalities were detected in 225 (5.9%) patients, and 5 (0.13%) underwent neurosurgical procedures.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Among older patients with head trauma, CTB could be targeted to individuals likely to be considered for neurosurgical intervention.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1742-6723.70046","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T06:44:52Z","timestamp":1745217892000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Imaging for older patients with head impact at baseline conscious state"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0508-2450","authenticated-orcid":false,"given":"Biswadev","family":"Mitra","sequence":"first","affiliation":[{"name":"School of Public Health & Preventive Medicine Monash University Melbourne VIC Australia"},{"name":"Emergency & Trauma Centre, The Alfred Hospital Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Ip","sequence":"additional","affiliation":[{"name":"School of Public Health & Preventive Medicine Monash University Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipen","family":"Khoosal","sequence":"additional","affiliation":[{"name":"Emergency & Trauma Centre, The Alfred Hospital Melbourne VIC Australia"},{"name":"Emergency Department Frankston Hospital Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernice Xin Er","family":"Lee","sequence":"additional","affiliation":[{"name":"Emergency Department Frankston Hospital Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8537-2011","authenticated-orcid":false,"given":"Gabriel","family":"Blecher","sequence":"additional","affiliation":[{"name":"Emergency Department Frankston Hospital Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1443-557X","authenticated-orcid":false,"given":"Peter A.","family":"Cameron","sequence":"additional","affiliation":[{"name":"School of Public Health & Preventive Medicine Monash University Melbourne VIC Australia"},{"name":"Emergency & Trauma Centre, The Alfred Hospital Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-024-00537-8"},{"key":"e_1_2_8_3_1","volume-title":"Evidence reviews for clinical decision rules selecting people with head injury for imaging: Head injury: assessment and early management: Evidence review D","year":"2023"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.p1130"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.10.173"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.14481"}],"updated-by":[{"DOI":"10.1111\/1742-6723.70084","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T00:00:00Z","timestamp":1749772800000}}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70046","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:13:45Z","timestamp":1747354425000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.70046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/1742-6723.70046"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.70046","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-01-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70046"}}