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

GCS10 ± 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.