{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T10:07:23Z","timestamp":1776938843851,"version":"3.51.4"},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background:<\/jats:title>\n<jats:p>Mild traumatic brain injury (MTBI), accounting for 80% of traumatic brain injury, is one of the most common conditions seen in emergency departments. Clinical parameters to predict intracranial lesions vary among guidelines. This study intended to find clinical parameters that can predict traumatic intracranial lesions in the setting of a middle-income country.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods:<\/jats:title>\n<jats:p>Data from mild head injury patients admitted to the emergency department from two large hospitals in Chiang Mai, Thailand, were prospectively collected from 2013 to 2014. The primary outcome was identifying clinically-important traumatic brain injury (ciTBI), and the secondary outcome was the neurosurgical procedure performed. Ten clinical findings and six predicting factors were analyzed using univariable and multivariable analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results:<\/jats:title>\n<jats:p>Among 1164 patients, ciTBI was identified in 244 cases (21.0%). The neurosurgical operation was performed in 57 cases (4.9%). Multivariable analysis showed factors for ciTBI were a diffuse headache, neurological deficits, signs of skull base fracture, Glasgow Coma Scale Score &lt;13\u201314 after 2 h of observation, wound at the scalp, palpable skull fracture, dangerous mechanism, and vomiting 2 times or more. Loss of consciousness, amnesia, intoxication, and age were not predictors for ciTBI.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>We found eight indicators to associate with ciTBI after MTBI which can be used to develop further clinical guidelines for computed tomography scans.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni-101-2019","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T08:53:51Z","timestamp":1556787231000},"page":"64","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Clinical indicators for traumatic intracranial findings in mild traumatic brain injury patients"],"prefix":"10.25259","volume":"10","author":[{"given":"Tanat","family":"Vaniyapong","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayanthon","family":"Patumanond","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Clinical Epidemiology Unit and Clinical Research Center, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanguansin","family":"Ratanalert","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkhla"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kriengsak","family":"Limpastan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,4,24]]},"reference":[{"key":"10.25259\/SNI-101-2019\/ref-1","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1056\/NEJM200007133430204","article-title":"Indications for computed tomography in patients with minor head injury","volume":"343","author":"Haydel","year":"2000","journal-title":"N Engl J Med"},{"key":"10.25259\/SNI-101-2019\/ref-2","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1016\/S0140-6736(01)06140-2","article-title":"The canadian CT head rule","volume":"358","author":"Haydel","year":"2001","journal-title":"Lancet"},{"key":"10.25259\/SNI-101-2019\/ref-3","article-title":"Head Injury:Triage, Assessment, Investigation and Early Management of Head Injury in Children, Young People and Adults","author":"National Clinical Guideline Centre (UK)","year":"2014","journal-title":"Partial Update of NICE CG56"},{"key":"10.25259\/SNI-101-2019\/ref-4","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1136\/jnnp.66.4.470","article-title":"Significance of vomiting after head injury","volume":"66","author":"Nee","year":"1999","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"10.25259\/SNI-101-2019\/ref-5","volume-title":"Early Management of Patients with a Head Injury","author":"Scottish Intercollegiate Guidelines Network","year":"2009"},{"key":"10.25259\/SNI-101-2019\/ref-6","doi-asserted-by":"crossref","first-page":"2078","DOI":"10.1001\/archinternmed.2009.427","article-title":"Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer","volume":"169","author":"Smith-Bindman","year":"2009","journal-title":"Arch Intern Med"},{"key":"10.25259\/SNI-101-2019\/ref-7","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.1001\/jama.294.12.1519","article-title":"External validation of the canadian CT head rule and the new orleans criteria for CT scanning in patients with minor head injury","volume":"294","author":"Smits","year":"2005","journal-title":"JAMA"},{"key":"10.25259\/SNI-101-2019\/ref-8","doi-asserted-by":"crossref","first-page":"397","DOI":"10.7326\/0003-4819-146-6-200703200-00004","article-title":"Predicting intracranial traumatic findings on computed tomography in patients with minor head injury:The CHIP prediction rule","volume":"146","author":"Smits","year":"2007","journal-title":"Ann Intern Med"},{"key":"10.25259\/SNI-101-2019\/ref-9","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.1016\/S0140-6736(00)04561-X","article-title":"The canadian CT head rule for patients with minor head injury","volume":"357","author":"Stiell","year":"2001","journal-title":"Lancet"},{"key":"10.25259\/SNI-101-2019\/ref-10","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1046\/j.1468-1331.2002.00407.x","article-title":"EFNS guideline on mild traumatic brain injury:Report of an EFNS task force","volume":"9","author":"Vos","year":"2002","journal-title":"Eur J Neurol"},{"key":"10.25259\/SNI-101-2019\/ref-11","author":"World Health Organization","year":"2009","journal-title":"Global Status Report on Road Safety:Time for Action"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/clinical-indicators-for-traumatic-intracranial-findings-in-mild-traumatic-brain-injury-patients\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/clinical-indicators-for-traumatic-intracranial-findings-in-mild-traumatic-brain-injury-patients\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,25]],"date-time":"2019-08-25T12:02:59Z","timestamp":1566734579000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/clinical-indicators-for-traumatic-intracranial-findings-in-mild-traumatic-brain-injury-patients\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,24]]},"references-count":11,"alternative-id":["10.25259\/SNI-101-2019"],"URL":"https:\/\/doi.org\/10.25259\/sni-101-2019","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,24]]},"article-number":"64"}}