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01.09.2012 | original article | Ausgabe 17-18/2012

Wiener Medizinische Wochenschrift 17-18/2012

Diagnostic approach to children with minor traumatic brain injury

Zeitschrift:
Wiener Medizinische Wochenschrift > Ausgabe 17-18/2012
Autoren:
MD Isabel Oster, MD Ghiath M. Shamdeen, MD Karin Ziegler, MD Regina Eymann, MD Prof. Ludwig Gortner, MD PD Sascha Meyer
Wichtige Hinweise
Isabel Oster and Sascha Meyer contributed equally to this work.

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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