TY  - JOUR
PY  - 2015//
TI  - A second look at the utility of serial routine repeat computed tomographic scans in patients with traumatic brain injury
JO  - American journal of surgery
A1  - Haider, Ansab A.
A1  - Rhee, Peter
A1  - Orouji, Tahereh
A1  - Kulvatunyou, Narong
A1  - Hassanzadeh, Tania
A1  - Tang, Andrew
A1  - Farman, Adil
A1  - O'Keeffe, Terence
A1  - Latifi, Rifat
A1  - Joseph, Bellal
SP  - 1088
EP  - 1094
VL  - 210
IS  - 6
N2  - BACKGROUND: The practice of a routine repeat head computed tomographic scans in patients with traumatic brain injury (TBI) is under question. The aim of our study was to evaluate the utility of a more than 1 repeat head computed tomography (M1CT) scans in patients with TBI. <br><br>METHODS: We performed a 3-year analysis of a prospectively collected database of all TBI patients presenting to our level I trauma center. Patients who received M1CT scans were included. <br><br>FINDINGS and reason (without neurologic decline vs after neurologic decline) for M1CT were recorded. Primary outcome measure was neurosurgical intervention. <br><br>RESULTS: A total of 296 patients that underwent M1CT were included. Of those, 291 patients (98.6%) had M1CT without a neurologic decline, and neurosurgical intervention was performed in 1 patient (.3%) who was inexaminable (Glasgow coma scale score = 6). The remaining (n = 5) had M1CT due to a neurologic decline; 4 patients (80%) of the 5 had worsening of ICH; and neurosurgical intervention was performed in 3 (75%) of the 4 patients. <br><br>CONCLUSIONS: The practice of multiple repeat head computed tomographic scans should be limited to inexaminable patients or patients with neurological deterioration.<p />  <p>Language: en</p>
LA  - en
SN  - 0002-9610
UR  - http://dx.doi.org/10.1016/j.amjsurg.2015.07.004
ID  - ref1
ER  -