RT Journal Article
T1 Variability in the indication of brain CT scan after mild traumatic brain injury. A transnational survey
A1 Lagares Gómez-Abascal, Alfonso
A1 Castaño León, Ana María
A1 Richard, Marion
A1 Tsitsopoulos, Parmenion Philip
A1 Morales, Julian
A1 Mihai, Podaru
A1 Pavlov, Vladislav
A1 Mejan, Odile
A1 Cruz, Javier de la
A1 Payen, Jean François
A1 Maignan, Maxime
A1 Jacquin, Laurent
A1 Douplat, Marion
A1 Laribi, Said
A1 Pes, Philippe
A1 Ray, Patrick
A1 Guenezan, Jérémy
A1 Sebbane, Mustapha
A1 Balen, Frédéric
A1 Durand, Guillaume
A1 Abric, Cordelia
A1 Lorca, María Teresa
A1 Ponce, Mariana Garcia
A1 Cuesta, Maite
A1 Alén, Jose A. F.
AB Purpose: Clinical guidelines have been developed to standardize the management of mild traumatic brain injury (mTBI) in the emergency room, in particular the indication of brain CT scan and the use of blood biomarkers. The objective of this study was to determine the degree of adherence to guidelines in the management of these patients across four countries of Southern Europe. Methods: An electronic survey including structural and general management of mTBI patients and six clinical vignettes was conducted. In-charge physicians from France, Spain, Greece and Portugal were contacted by telephone and email. Diferences among countries were searched using an unconditional approach test on contingency tables. Results: One hundred and eighty eight physicians from 131 Hospitals (78 Spain, 36 France, 12 Greece and 5 Portugal) completed the questionnaire. There were diferences regarding the in-charge specialist across these countries. There was variability in the use of guidelines and their adherence. Spain was the country with the least guideline adherence. There was a global agreement in ordering a brain CT for patients receiving anticoagulation or platelet inhibitors, and for patients with seizures, altered consciousness, neurological defcit, clinical signs of skull fracture or signs of facial fracture. Aging was not an indication for CT in French centres. Loss of consciousness and posttraumatic amnesia were considered as indications for CT more frequently in Spain than in France. These fndings were in line with the data from the 6 clinical vignettes. The estimated use of CT reached around 50% of mTBI cases. The use of S100B is restricted to fve French centres. Conclusions: There were large variations in the guideline adherence, especially in the situations considered to order brain CT after mTBI.
PB Springer Nature
SN 1863-9933
YR 2022
FD 2022-02-18
LK https://hdl.handle.net/20.500.14352/71553
UL https://hdl.handle.net/20.500.14352/71553
LA eng
NO Lagares Gómez-Abascal, A., Castaño León, A. M., Richard, M. et al. «Variability in the Indication of Brain CT Scan after Mild Traumatic Brain Injury. A Transnational Survey». European Journal of Trauma and Emergency Surgery, vol. 49, n.o 3, junio de 2023, pp. 1189-98. DOI.org (Crossref), https://doi.org/10.1007/s00068-022-01902-5.
NO CRUE-CSIC (Acuerdos Transformativos 2022)
DS Docta Complutense
RD 21 abr 2025