Pathway-Based Reduction of Repeat Head Computed Tomography for Patients With Complicated Mild Traumatic Brain Injury: Implementation and Outcomes Article Swipe
Martina Stippler
,
Stacey Keith
,
Emmalin B Nelton
,
Charles S. Parsons
,
Jennifer M. Singleton
,
Leslie A. Bilello
,
Carrie Tibbles
,
Roger B. Davis
,
Jonathan A. Edlow
,
Carlo L. Rosen
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1093/neuros/nyaa504
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1093/neuros/nyaa504
BACKGROUND Routine follow-up head imaging in complicated mild traumatic brain injury (cmTBI) patients has not been shown to alter treatment, improve outcomes, or identify patients in need of neurosurgical intervention. We developed a follow-up head computed tomography (CT) triage algorithm for cmTBI patients to decrease the number of routine follow-up head CT scans obtained in this population. OBJECTIVE To report our experience with protocol implications and patient outcome. METHODS Data on all cmTBI patients presenting from July 1, 2018 to June 31, 2019, to our level 1, tertiary, academic medical center were collected prospectively and analyzed retrospectively. Descriptive analysis was performed. RESULTS Of the 178 patients enrolled, 52 (29%) received a follow-up head CT. A total of 27 patients (15%) were scanned because of initial presentation and triaged to the group to receive a routine follow-up head CT. A total of 151 patients (85%) were triaged to the group without routine follow-up head CT scan. Protocol adherence was 89% with 17 violations. CONCLUSION Utilizing this protocol, we were able to safely decrease the use of routine follow-up head CT scans in cmTBI patients by 71% without any missed injuries or delayed surgery. Adoption of the protocol was high among all services managing TBI patients.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/neuros/nyaa504
- OA Status
- green
- Cited By
- 12
- References
- 15
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3123828879
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3123828879Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/neuros/nyaa504Digital Object Identifier
- Title
-
Pathway-Based Reduction of Repeat Head Computed Tomography for Patients With Complicated Mild Traumatic Brain Injury: Implementation and OutcomesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-12-08Full publication date if available
- Authors
-
Martina Stippler, Stacey Keith, Emmalin B Nelton, Charles S. Parsons, Jennifer M. Singleton, Leslie A. Bilello, Carrie Tibbles, Roger B. Davis, Jonathan A. Edlow, Carlo L. RosenList of authors in order
- Landing page
-
https://doi.org/10.1093/neuros/nyaa504Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/7956047Direct OA link when available
- Concepts
-
Medicine, Triage, Computed tomography, Traumatic brain injury, Head injury, Protocol (science), Emergency department, Radiology, Retrospective cohort study, Emergency medicine, Surgery, Alternative medicine, Psychiatry, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
12Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 4, 2023: 1, 2022: 4, 2021: 2Per-year citation counts (last 5 years)
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15Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| corresponding_author_ids | https://openalex.org/A5001219573 |
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| institutions_distinct_count | 10 |
| corresponding_institution_ids | https://openalex.org/I1316535847, https://openalex.org/I136199984 |
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