[Roentgen studies of the skull in head injuries--a multicenter study].
The multi-center study presented reveals that 76% of the conventionally performed X-ray investigations of the skull can be avoided without any relevance concerning the non-diagnosis of severe injuries. Only in 3.2% of all patients investigated a skull X-ray had instantaneous therapeutically consequences. Thus routinely performed skull X-rays are no longer acceptable in the light of cost reduction and radiation load. The clinical-neurological investigations however are inevitable to perform the state of the art treatment of patients with head injuries today, leading to computerized tomography if necessary. A check-list of clinical findings is presented to get the indications for conventional X-rays of the skull and to manage an effective use of such investigations in appropriate clinical situations.
Windolf
J
J
Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt.
Inglis
R
R
Pannike
A
A
Inglis
U
U
Gerlach
U
U
Gottschalk
S
S
Kieseleczuk
J
J
Krieger
M
M
Langwara
H
H
Schnabel
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003363:Cost Control; D006259:Craniocerebral Trauma / Q000000981:diagnostic imaging*; D005260:Female; D006300:Health Services Misuse; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography / Q000191:economics / Q000706:statistics & numerical data; D012307:Risk Factors; D012886:Skull / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
Röntgenuntersuchungen des Schädels bei Kopfverletzungen--eine Multicenterstudie.