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Table 5 CT image findings (initial description) and patient management

From: Evaluation of the Scandinavian guidelines for head injuries based on a consecutive series with computed tomography from a Norwegian university hospital

CT findings and management after CT examination

Minimal injury

Mild injury

Moderate injury

Missing data or not classifiable

Overall

 

N = 275

N = 525

N = 160

N = 365

N = 1325

CT findings

     

 Normal CT *

218 (79.3%)

423 (80.6%)

88 (55.0%)

241 (66.0%)

970 (73.2%)

 Intracranial traumatic findings

10 (3.6%)

36 (6.9%)

30 (18.8%)

7 (1.9%)

83 (6.3%)

 Epidural hematoma

1 (0.4%)

2 (0.4%)

4 (2.5%)

0 (0%)

7 (0.5%)

 Subdural hematoma

3 (1.1%)

12 (2.3%)

15 (9,4%)

1 (0.3%)

31 (2.3%)

 SAH/intraventricular hemorrhage

2 (0.7%)

12 (2.3%)

12 (7.5%)

3 (0.8%)

29 (2.2%)

 Contusion hematoma

4 (1.5%)

15 (2.9%)

17 (10.6%)

5 (1.4%)

41 (3.1%)

 Diffuse cerebral edema

1 (0.4%)

1 (0.2%)

5 (3.1%)

0 (0%)

7 (0.5%)

 Pneumocephalus

1 (0.4%)

8 (1.5%)

7 (4.4%)

0 (0%)

16 (1.2%)

 Cranial fracture(s)

4 (1.5%)

17 (3.2%)

12 (7.5%)

5 (1.4%)

38 (2.9%)

 With impression

1 (0.4%)

2 (0.4%)

2 (1.3%)

0 (0%)

5 (0.4%)

 Without impression

1 (0.4%)

7 (1.3%)

6 (3.8%)

3 (0.8%)

17 (1.3%)

 Skull base fracture

2 (0.7%)

10 (1.9%)

7 (4.4%)

2 (0.5%)

21 (1.6%)

 Non-traumatic pathological findings

45 (16.4%)

64 (12.2%)

44 (27.5%)

114 (31.2%)

267 (20.2%)

Admission to hospital

     

 Number of admissions

188 (68.4%)

285 (54.3%)

120 (75.0%)

196 (53.7%)

789 (59.6%)

 Median length of stay (days)

1.0

0.5

1.5

0.5

0.5

 Range length of stay (days)

0.0 – 52.0

0.0 - 98.0

0.0 - 108.0

0.0 - 60.0

0.0 – 108.0

 Admission to hospital due to:

     

 Head injury alone

30 (10.9%)

103 (19.6%)

37 (23.1%)

16 (4.4%)

186 (14.0%)

 Other causes than injuries

3 (1.1%)

7 (1.3%)

7 (4.4%)

68 (18.6%)

85 (6.4%)

 Other injuries than the head injury

86 (31.3%)

35 (6.7%)

6 (3.8%)

16 (4.4%)

143 (10.8%)

 Combinations

68 (24.7%)

140 (26.7%)

70 (43.8%)

95 (26.0%)

373 (28.2%)

 Unknown cause/missing data

1 (0.4%)

0 (0%)

0 (0.0%)

1 (0.3%)

2 (0.2%)

 Not admitted

87 (31.6%)

240 (45.7%)

40 (25.0%)

169 (46.3%)

536 (40.5%)

Neurosurgical intervention

3 (1.1%)

1 (0.2%)

8 (5.0%)

0 (0%)

12 (0.9%)

 Intracranial pressure monitoring

0 (0%)

1 (0.2%)

4 (2.5%)

0 (0%)

5 (0.4%)

 Reposition of cranial fracture(s)

1 (0.4%)

0 (0%)

2 (1.3%

0 (0%)

3 (0.2%)

 External ventricle drain

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

 Craniotomy

1 (0.4%)

0 (0%)

2 (1.3%)

0 (0%)

3 (0.2%)

 Burr hole-procedure§

1 (0.4%)

0 (0%)

0 (0%)

0 (0%)

1 (0.1%)

In-house-mortality

3 (1.1%)

1 (0.2%)

2 (1.3%)

8 (2.2%)

14 (1.1%)

  1. *Except extra-cranial hematoma or swelling.
  2. § Evacuation of chronic subdural hematoma.