{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:28:54Z","timestamp":1786649334163,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>BrainScope (BSc) is an FDA-cleared noninvasive device utilizing artificial intelligence and machine learning-derived brain algorithms of brain electric activity to assist clinicians in determining the likelihood of intracranial hemorrhage and need for head computed tomography (CT) after trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The objectives of this diagnostic implementation project are to measure patient and operator satisfaction, head CT utilization, and emergency department (ED) length of stay (LOS). We enrolled a convenience sample of ambulatory patients ages 18\u201385 with mild traumatic brain injury (mTBI) within the preceding 72 h and Glasgow Coma Scale (GCS) \u226513. A trained group of clinicians performed BSc diagnostic testing, recording patient demographics, injury time and cause, BSc results, and test performance time. Ease of device, patient prep, and patient satisfaction were recorded on 5-point Likert scales. Retrospective matched pairs of ED patients with mTBI and GCS \u226513 were derived from a query of Allscripts EHR. Analysis was performed with descriptive statistics and two-sample\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test with significance of\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-three patients were enrolled: mean age 31.5 (standard deviation [SD] 13.6), 40% male, 44% with mTBI resulting from MVC, and 61% presenting 8\u201324 h after injury. The mean BSc testing time was 9.3 min (SD 3.9). Patient and operator satisfaction with BSc evaluation was rated high in 77% and 86%, respectively. BSc reduced CT utilization by 56% and reduced ED LOS by 197 min (SD 85).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>BSc offers a point-of-care solution for mTBI evaluation that has excellent patient and operator satisfaction scores while reducing CT utilization and ED LOS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jets.jets_48_25","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T03:00:29Z","timestamp":1775790029000},"page":"85-88","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Patient and Provider Satisfaction with BrainScope for Evaluation of Minor Head Injury"],"prefix":"10.4103","volume":"19","author":[{"given":"Isabella","family":"Garra","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, South Shore University Hospital at Northwell Health, Bay Shore, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, South Shore University Hospital at Northwell Health, Bay Shore, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Borgese","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, South Shore University Hospital at Northwell Health, Bay Shore, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Ferrante","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, South Shore University Hospital at Northwell Health, Bay Shore, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"R2-20260624","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":"R3-20260624","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":"R4-20260624","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1111\/acem.12824","article-title":"Understanding overuse of computed tomography for minor head injury in the emergency department: A triangulated qualitative study","volume":"22","author":"Melnick","year":"2015","journal-title":"Acad Emerg 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Med"},{"key":"R10-20260624","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/HTR.0000000000000328","article-title":"The use of an electrophysiological brain function index in the evaluation of concussed athletes","volume":"33","author":"Brooks","year":"2018","journal-title":"J Head Trauma Rehabil"},{"key":"R11-20260624","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.ajem.2017.07.007","article-title":"Using a brain electrical activity biomarker could aid in the objective identification of mild traumatic brain injury patients","volume":"36","author":"Naunheim","year":"2018","journal-title":"Am J Emerg Med"},{"key":"R12-20260624","doi-asserted-by":"crossref","first-page":"e98","DOI":"10.3399\/bjgp10X483508","article-title":"Patient satisfaction with point-of-care testing in general practice","volume":"60","author":"Laurence","year":"2010","journal-title":"Br J Gen Pract"},{"key":"R13-20260624","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.cca.2013.04.025","article-title":"Patient satisfaction with point-of-care laboratory testing: Report of a quality improvement program in an ambulatory practice of an academic medical center","volume":"424","author":"Crocker","year":"2013","journal-title":"Clin Chim Acta"},{"key":"R14-20260624","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1186\/s12875-021-01459-z","article-title":"Patients\u2019 experiences of the use of point-of-care ultrasound in general practice \u2013 A cross-sectional study","volume":"22","author":"Andersen","year":"2021","journal-title":"BMC Fam Pract"},{"key":"R15-20260624","doi-asserted-by":"crossref","first-page":"404","DOI":"10.5811\/westjem.2019.10.43655","article-title":"Role of point-of-care testing in reducing time to treatment decision-making in urgency patients: A randomized controlled trial","volume":"21","author":"Chaisirin","year":"2020","journal-title":"West J Emerg Med"},{"key":"R16-20260624","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1002\/hpja.647","article-title":"Patient requests for radiological services: An Australian study of patient agency and the impact of online health information","volume":"34","author":"De Silva","year":"2023","journal-title":"Health Promot J Austr"},{"key":"R17-20260624","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1001\/jamainternmed.2017.6611","article-title":"Association of clinician denial of patient requests with patient satisfaction","volume":"178","author":"Jerant","year":"2018","journal-title":"JAMA Intern Med"}],"container-title":["Journal of Emergencies, Trauma, and Shock"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_48_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:52:33Z","timestamp":1786647153000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_48_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jets.jets_48_25","relation":{},"ISSN":["0974-2700","0974-519X"],"issn-type":[{"value":"0974-2700","type":"print"},{"value":"0974-519X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-04-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-04","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}