Factors Affecting Unscheduled Return Visits to the Emergency Department among Minor Head Injury Patients
Table 4
Characteristics of admitted patients in 2nd ED visit.
Number
Age
Gender
Mechanism
Triage
LOS (D)
ILOC
CT
ED diagnosis
Final diagnosis
Operation
ICU/ward
Outcome
M
MVA
(1) Brain concussion (2) C6 right lamina and lateral mass linear fracture
(1) Brain concussion (2) C6 level right lamina fracture
No
Ward
Discharged
M
Crush
Head, chest and abdomen contusion
(1) Brain concussion (2) Liver hematoma
No
Ward
Discharged
F
Fall
Breast cancer with brain mets
(1) Breast ca with multiple mets (2) Pneumonia (3) Brain concussion
No
Ward
Mortality
M
Fall
Headache
(1) Headache, suspected posttraumatic head injury related, need exclude migraine or mood related (2) History of traumatic SDH and SAH (3) Major depression disorder
No
Ward
Discharged
M
MVA
(1) Contusion of face, scalp and neck (2) Scalp laceration (3) Contusion of chest wall
(1) Contusion of chest wall, face, scalp, and neck (2) Multiple subcutaneous emphysema over bilateral buccal, submandibular, neck and upper chest
(1) Head injury (2) Occipital area laceration (3) SDH
(1) Subdural hemorrhage (2) C2 odontoid fx s/p C2 odontoid screws fixation and fusion (3) Neck and bilateral lower limbs contusion
Yes
Ward
Discharged
F
Fall
Brain concussion
(1) Breast ca with multiple mets (2) Hypovolemic shock with multi-organ failure (3) Brain concussion
No
Ward
Mortality
F
Fall
(1) Nasal bone fracture (2) Contusion of face, scalp and neck
(1) Brain concussion with nasal bone fracture (2) Hyponatremia (3) Pneumonia (4) Renal abscess
No
ICU
Discharged
M
Fall
(1) Head injury with local swelling (2) Brain concussion
Left high parietal EDH with mass effect
Yes
ICU
Discharged
LOS (D), length of stay in days; ILOC, initial loss of consciousness; CT, computed tomography; ED, emergency department; MVA, motor vehicle accident; ICU, intensive care unit.
