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Erschienen in: Wiener Medizinische Wochenschrift 17-18/2012

01.09.2012 | original article

Diagnostic approach to children with minor traumatic brain injury

verfasst von: Isabel Oster, MD, Ghiath M. Shamdeen, MD, Karin Ziegler, MD, Regina Eymann, MD, Prof. Ludwig Gortner, MD, PD Sascha Meyer, MD

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 17-18/2012

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Summary

Study purpose

To analyse the management of minor traumatic brain injury (MTBI) in paediatric hospitals in Germany.

Methods

An electronic survey was sent to 72 children hospitals.

Results

All participating (45/72; 62.5 %) hospitals had facilities to perform an electroencephalogram (EEG), 98 % cranial ultrasonography, 94 % MRI studies, and 87 % a CT scan. The initial Glasgow Coma Scale, the clinical presentation/neurological deficits, the intensity of the trauma and external/visible injuries were most important for initial assessment. The main reason for in-patient monitoring was initial clinical neurologic presentation (44 %). X-ray scans were used routinely in only 2.2 %, cMRI scans in 6.7 % and cCT scans in 13.3 %; approximately one third employed ultrasonography. In 22.2 % was an EEG part of the routine diagnostic work-up. Inpatient monitoring for 24–48 h was done in 80 %.

Conclusions

Children with MTBI are often monitored clinically without resorting to potentially harmful and expensive diagnostic procedures (cCT scans).
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Metadaten
Titel
Diagnostic approach to children with minor traumatic brain injury
verfasst von
Isabel Oster, MD
Ghiath M. Shamdeen, MD
Karin Ziegler, MD
Regina Eymann, MD
Prof. Ludwig Gortner, MD
PD Sascha Meyer, MD
Publikationsdatum
01.09.2012
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 17-18/2012
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-012-0124-x

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