[Computed tomography as an alternative to observation in brain concussion].
In Sweden, patients with minor head injury (i.e., history of loss of consciousness or posttraumatic amnesia) are routinely admitted for neurological observation. The article reports the results of a small study of current clinical practices at St Göran's Hospital in Stockholm, and briefly reviews published reports of different management strategies. The findings suggest that computed tomography scanning might constitute better management than routine hospitalisation, both medically and economically. However, further investigation from a Swedish perspective is needed before any evidence-based recommendations can be made.
af Geijerstam
J L
JL
Karolinska institutet.
Britton
M
M
Boijsen
M
M
Marké
L A
LA
D000293:Adolescent; D000328:Adult; D000368:Aged; D001924:Brain Concussion / Q000175:diagnosis / Q000000981:diagnostic imaging*; D004636:Emergency Service, Hospital / Q000191:economics; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D013548:Sweden; D014057:Tomography, X-Ray Computed / Q000191:economics