Management of traumatic head injuries in a rural Irish hospital: implications of the NICE guidelines.
Ir J Med Sci
; 179(4): 557-60, 2010 Dec.
Article
en En
| MEDLINE
| ID: mdl-20512534
BACKGROUND: The NICE guidelines were published in 2003 in an effort to standardise the management of traumatic head injuries, and advise a CT brain in certain situations. AIM: To evaluate the influence of the NICE guidelines on the management of head injuries in a county hospital. METHODS: Complete clinical data were obtained for all patients with traumatic head injuries attending the ED of a county hospital from 2001 to 2005. Symptoms, examination details and outcome data were made available. The influence of the NICE guidelines on their management was then evaluated. RESULTS: Application of the NICE guidelines to these patients would have resulted in a 56% increase in the rate of CT brains being performed. No patient who did not have a CT brain had an adverse outcome. CONCLUSION: It is possible with limited resources and normal neurological observations that patients over the age of 65 can be managed safely.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Lesiones Encefálicas
/
Tomografía Computarizada por Rayos X
/
Guías de Práctica Clínica como Asunto
Tipo de estudio:
Guideline
/
Observational_studies
Límite:
Adult
/
Aged
/
Female
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Humans
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Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Ir J Med Sci
Año:
2010
Tipo del documento:
Article
País de afiliación:
Irlanda
Pais de publicación:
Irlanda