Computed tomography findings in patients with minor head trauma presenting with a history of loss of consciousness and/or amnesia, Glasgow Coma Scale 15 and no focal neurological deficit

 

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dc.contributor.advisor Candy, Sally en_ZA
dc.contributor.author Singata, Chuma en_ZA
dc.date.accessioned 2018-01-30T10:21:37Z
dc.date.available 2018-01-30T10:21:37Z
dc.date.issued 2017 en_ZA
dc.identifier.citation Singata, C. 2017. Computed tomography findings in patients with minor head trauma presenting with a history of loss of consciousness and/or amnesia, Glasgow Coma Scale 15 and no focal neurological deficit. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/27086
dc.description.abstract Background: South Africa is a developing country with limited resources. Currently, in our institution, patients who have suffered a minor head injury with a Glasgow Coma Scale (GCS) 15, loss of consciousness (LOC) and amnesia obtain a computed tomography (CT) scan, regardless of the cost that is incurred by the use of this limited resource. Applying recommendations in developing countries requires consideration of resource limitations and patient burden. Objective: Our objectives were twofold: 1. To determine the number of abnormalities found on routine head CTs in patients who have a history of LOC and amnesia/PTA post trauma, but with a normal mental status (GCS 15) on presentation to the trauma unit. 2. To determine the clinical value of routine CT scan of the head in patients who have suffered minor head injury with GCS 15, LOC and amnesia. Methods: The CT scan reports of 460 patients with minor head injury, GCS 15, LOC and amnesia were reviewed retrospectively in the radiology unit of Groote Schuur Hospital between the years 2012 and 2014. These patients were assessed by the trauma doctor and referred to the radiology department for a CT scan of the head. Reports had been prepared and verified by a radiology specialist or senior registrar. Results: The findings on CT were categorized as significant and insignificant. A total of 33 patient reports (7%) met the criteria of significant findings that required neurosurgical intervention. (CI 4, 7-9, 6). 320 patients (70%) had normal findings while 107 patients (23%) had insignificant findings. Conclusion: CT scan of the head in minor head injury patients with normal mental status (GCS 15) is recommended even in the face of the limited resource in view of our study results. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Radiology en_ZA
dc.title Computed tomography findings in patients with minor head trauma presenting with a history of loss of consciousness and/or amnesia, Glasgow Coma Scale 15 and no focal neurological deficit en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Radiology en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MMed en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Singata, C. (2017). <i>Computed tomography findings in patients with minor head trauma presenting with a history of loss of consciousness and/or amnesia, Glasgow Coma Scale 15 and no focal neurological deficit</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Division of Radiology. Retrieved from http://hdl.handle.net/11427/27086 en_ZA
dc.identifier.chicagocitation Singata, Chuma. <i>"Computed tomography findings in patients with minor head trauma presenting with a history of loss of consciousness and/or amnesia, Glasgow Coma Scale 15 and no focal neurological deficit."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Division of Radiology, 2017. http://hdl.handle.net/11427/27086 en_ZA
dc.identifier.vancouvercitation Singata C. Computed tomography findings in patients with minor head trauma presenting with a history of loss of consciousness and/or amnesia, Glasgow Coma Scale 15 and no focal neurological deficit. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Division of Radiology, 2017 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/27086 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Singata, Chuma AB - Background: South Africa is a developing country with limited resources. Currently, in our institution, patients who have suffered a minor head injury with a Glasgow Coma Scale (GCS) 15, loss of consciousness (LOC) and amnesia obtain a computed tomography (CT) scan, regardless of the cost that is incurred by the use of this limited resource. Applying recommendations in developing countries requires consideration of resource limitations and patient burden. Objective: Our objectives were twofold: 1. To determine the number of abnormalities found on routine head CTs in patients who have a history of LOC and amnesia/PTA post trauma, but with a normal mental status (GCS 15) on presentation to the trauma unit. 2. To determine the clinical value of routine CT scan of the head in patients who have suffered minor head injury with GCS 15, LOC and amnesia. Methods: The CT scan reports of 460 patients with minor head injury, GCS 15, LOC and amnesia were reviewed retrospectively in the radiology unit of Groote Schuur Hospital between the years 2012 and 2014. These patients were assessed by the trauma doctor and referred to the radiology department for a CT scan of the head. Reports had been prepared and verified by a radiology specialist or senior registrar. Results: The findings on CT were categorized as significant and insignificant. A total of 33 patient reports (7%) met the criteria of significant findings that required neurosurgical intervention. (CI 4, 7-9, 6). 320 patients (70%) had normal findings while 107 patients (23%) had insignificant findings. Conclusion: CT scan of the head in minor head injury patients with normal mental status (GCS 15) is recommended even in the face of the limited resource in view of our study results. DA - 2017 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Computed tomography findings in patients with minor head trauma presenting with a history of loss of consciousness and/or amnesia, Glasgow Coma Scale 15 and no focal neurological deficit TI - Computed tomography findings in patients with minor head trauma presenting with a history of loss of consciousness and/or amnesia, Glasgow Coma Scale 15 and no focal neurological deficit UR - http://hdl.handle.net/11427/27086 ER - en_ZA


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