Clinical Study
Routine Follow-Up Cranial Computed Tomography for Deeply Sedated, Intubated, and Ventilated Multiple Trauma Patients with Suspected Severe Head Injury
Table 1
Pathologic findings in groups I and II. New and progressive findings in group II.
| | Group I (cCT 1) () | Group II (cCT 1) () | Group II (cCT 2) progressive findings (% of cCT 1 specific findings) | Group II (cCT 2) new findings (% of group II) |
|
Contusion† | (26%) | (58%)** | (30%) | (19%) | SAH† | (22%) | (50%)** | (65%) | (10%) | SDH | (12%) | (12%) | (50%) | (60%) | EDH | (9%) | (10%) | (37%) | (66%) | Ventricular bleeding | (3%) | (1%) | | (1%) | Intracerebral bleeding | | (6%) | (80%) | (2%) | Skull fracture | (17%) | (32%) | | | Brain edema† | (6%) | (21%)* | (94%) | (2%) | Midline shift | (1%) | (11%) | (100%) | (7%) | Foreign body | (1%) | (1%) | | |
| ISS | | |
| GCS | 10 ± 4,5 | |
|
|
; *; †Risk for significant worsening in cCT 2.
SAH: subarachnoid haemorrhage; SDH: subdural hematoma; EDH: epidural hematoma; ISS: injury severity score; GCS: Glasgow coma scale; cCT: cranial computed tomography.
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