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AWT IMAGE

AWT IMAGE
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:: Volume 13 - Supplement, Winter ::
aumj 2024, 13 - Supplement, Winter: 58-71 Back to browse issues page
Compatibility of Brain CT_Scans with valid guidelines criteria in mild traumatic brain injury patients in emergency department of Madani medical education Center in Karaj
Ali Baradaran Bagheri * 1, Kourosh Kabir2 , Ali Taherinia3 , Fatima sadat Paiman4
1- Assistant Professor of Neurosurgery, Clinical Research Development Unit Shahid Madani Hospital , School of Medicine , Alborz University of Medical Sciences , Karaj, Iran
2- Associate Professor, Department of Community Medicine and Epidemiology, School of Medicine , Alborz University of Medical Sciences, Karaj, Iran
3- Associate Professor of Emergency Medicine, Clinical Research Development Unit Shahid Madani Hospital , School of Medicine , Alborz University of Medical Sciences, Karaj, Iran
4- General Physician, Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
Abstract:   (500 Views)
Introduction :Brain injury is a prevalent problem in emergency department. Assessing traumatic brain injury (TBI) usually needs imaging, of them Computed Tomography scanning (CT scan) is very useful for detecting brain pathology in these patients. On the other hand in mild TBI patients, CT imaging may be used without indication which leads to overuse and unnecessary harm to patients and also waste of resources. Due to the lack of data in Iran, the study aimed to assess the compatibility of Brain CT Scans with valid guidelines criteria in mild traumatic brain injury patients in emergency department of Madani medical education center in Karaj.
Material and methods: A cross-sectional design study were used to assess compatibility of CT scans with different guidelines. A convenient sample of patients with mild TBI who referred to the emergency department of Madani medical education center and had underwent CT scan, entered the study. Patients with other accompanying injuries excluded from the study. Demographic data, mechanism of injury, signs and symptoms of patients were gathered using a check list. Indications for doing CT scans in adults were checked using Neworleans and Canadian guidelines. PECARN guideline also used for children. Data analyzed using SPSS software.

Results: 267 patients with the mean age of 35.13 (±22.502) years were evaluated. 168 (62.9%) patients were male and 99 (37.1%) were female. 35 (13.1%) patients according to PECARN+Neworleans guidelines and 127 (47.6%) patients according to PECARN+Canadian guidelines did not have any indication. Only 14 (5.2%) patients had abnormal CT findings. All of them had indications of performing CT scan. It could be estimated that 43 or 157 thousand brain CT scan are performed without indication, which result in wasting more than 23 or 84 billion rials of health system budget.
Conclusion: The results of this study indicate the use of valid guideline criteria reduce unnecessary brain CTs, thus preventing the loss of cost, time, manpower and depreciation of devices and also causes reduction of disease caused by the complication of CT scan radiation.
Keywords: Brain CT scan, Mild traumatic brain injury, Valid guideline
Full-Text [PDF 396 kb]   (211 Downloads)    
Type of Study: Original | Subject: Special
Received: 2022/09/13 | Accepted: 2024/02/04 | Published: 2024/02/28
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Baradaran Bagheri A, Kabir K, Taherinia A, Paiman F S. Compatibility of Brain CT_Scans with valid guidelines criteria in mild traumatic brain injury patients in emergency department of Madani medical education Center in Karaj. aumj 2024; 13 :58-71
URL: http://aums.abzums.ac.ir/article-1-1556-en.html
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Volume 13 - Supplement, Winter Back to browse issues page
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