Evaluation Of Ct Scan Results In Patients With Minor Head Trauma Based Its Indications And Final Clinical Results In Patients Referred To Emergency Department Of Namazi Hospital In 2016

Introduction: There is much controversy over whether or not to use CT scan in patients with minor traumatic brain injury. The present study was conducted aiming to examine the results of CT scan in minor traumatic brain injury on the basis of the required indications and final clinical results. Methods: A cross sectional study, the present study was conducted in the emergency section of Namazi Hospital, Shiraz, Iran. Patients with traumatic brain injury and Glasgow Coma Scale scores 13 to 15 were included. The clinical and CT scan results of patients were collected, compared and analyzed using SPSS software. P-values less than 0.05 were regarded as significant. Findings: Out of 263 patients, 182 (62.6%) and 81 (30.8%) were male and female, respectively. Also, the mean age of participants was 21.36±21.79. The most prevalent indication in patients was vomiting (56.3%) and the most prevalent unnatural indication was linear skull fracture. The present study reported that there is a significant association between unnatural CT scan results and indications of loss of consciousness level (P 0.01), headache (P=0.01) and post trauma seizure (P=0.04). Conclusion: The present study came to the conclusion that the four indications, namely, consciousness level, headache, post trauma seizure and vomiting can well predict the necessity for using CT scan in patients with minor traumatic brain injury.