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Behov av handläggningsrutiner för lätt skallskadade patienter

Bellner, Johan LU ; Ingebrigtsen, Tor and Romner, Bertil LU (1999) In Läkartidningen 96(47). p.5196-5198
Abstract
Developing guidelines for quality assurance in the management of head injury requires knowledge concerning present management practice. We studied management of minor head injury (MHI) using a cross-sectional mail survey of 76 Swedish hospitals. In 96% of the hospitals, initial patient evaluation, frequently performed by inexperienced physicians, entails neurological assessment according to the Swedish Reaction Level Scale or the Glasgow Coma Scale, while computerised tomography (CT) is used routinely in 4%. This survey indicates great variability in the management of MHI in hospitals in Sweden. Fifteen (21%) hospitals consistently hospitalize all MHI patients for overnight observation, while 56 (79%) have established criteria for early... (More)
Developing guidelines for quality assurance in the management of head injury requires knowledge concerning present management practice. We studied management of minor head injury (MHI) using a cross-sectional mail survey of 76 Swedish hospitals. In 96% of the hospitals, initial patient evaluation, frequently performed by inexperienced physicians, entails neurological assessment according to the Swedish Reaction Level Scale or the Glasgow Coma Scale, while computerised tomography (CT) is used routinely in 4%. This survey indicates great variability in the management of MHI in hospitals in Sweden. Fifteen (21%) hospitals consistently hospitalize all MHI patients for overnight observation, while 56 (79%) have established criteria for early discharge of selected patients. Routines for neurological assessment are satisfactory, while CT scan for skull fracture and early diagnosis of intracranial complications is usually not performed. (Less)
Please use this url to cite or link to this publication:
author
organization
alternative title
Routines required for management of minor head injuries
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Hjärnskador, Kraniocerebralt trauma
in
Läkartidningen
volume
96
issue
47
pages
5196 - 5198
external identifiers
  • pmid:10608110
  • scopus:0033600975
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
960005ca-bd97-47b8-9683-173c04504b44 (old id 1115907)
alternative location
http://ltarkiv.lakartidningen.se/artNo20284
date added to LUP
2008-07-08 16:04:49
date last changed
2017-01-01 07:23:45
@article{960005ca-bd97-47b8-9683-173c04504b44,
  abstract     = {Developing guidelines for quality assurance in the management of head injury requires knowledge concerning present management practice. We studied management of minor head injury (MHI) using a cross-sectional mail survey of 76 Swedish hospitals. In 96% of the hospitals, initial patient evaluation, frequently performed by inexperienced physicians, entails neurological assessment according to the Swedish Reaction Level Scale or the Glasgow Coma Scale, while computerised tomography (CT) is used routinely in 4%. This survey indicates great variability in the management of MHI in hospitals in Sweden. Fifteen (21%) hospitals consistently hospitalize all MHI patients for overnight observation, while 56 (79%) have established criteria for early discharge of selected patients. Routines for neurological assessment are satisfactory, while CT scan for skull fracture and early diagnosis of intracranial complications is usually not performed.},
  author       = {Bellner, Johan and Ingebrigtsen, Tor and Romner, Bertil},
  issn         = {0023-7205},
  keyword      = {Hjärnskador,Kraniocerebralt trauma},
  language     = {swe},
  number       = {47},
  pages        = {5196--5198},
  series       = {Läkartidningen},
  title        = {Behov av handläggningsrutiner för lätt skallskadade patienter},
  volume       = {96},
  year         = {1999},
}