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Neurology Research International
Volume 2017, Article ID 5385613, 5 pages
https://doi.org/10.1155/2017/5385613
Research Article

Clinical Factors Predictive for Intracranial Hemorrhage in Mild Head Injury

1Department of Emergency Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand
2Clinical Epidemiology Unit and Clinical Research Center, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
3Department of Medicine, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
4Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
5Sleep Apnea Research Group, Research and Training Center for Enhancing Quality of Life of Working-Age People, Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen 40002, Thailand

Correspondence should be addressed to Yuwares Sittichanbuncha; moc.liamg@serawuy.csyar

Received 25 June 2017; Revised 30 October 2017; Accepted 5 November 2017; Published 20 November 2017

Academic Editor: Changiz Geula

Copyright © 2017 Chaiyaporn Yuksen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Patients with mild head injuries, a GCS of 13–15, are at risk for intracranial hemorrhage. Clinical decision is needed to weigh between risks of intracranial hemorrhage and costs of the CT scan of the brain particularly those who are equivocal. This study aimed to find predictors for intracranial hemorrhage in patients with mild head injuries with a moderate risk of intracranial hemorrhage. We defined moderate risk of mild head injury as a GCS score of 13–15 accompanied by at least one symptom such as headache, vomiting, or amnesia or with alcohol intoxication. There were 153 patients who met the study criteria. Eighteen of the patients (11.76%) had intracranial hemorrhage. There were four independent factors associated with intracranial hemorrhage: history of hypertension, headache, loss of consciousness, and baseline GCS. The sensitivity for the presence of intracranial hemorrhage was 100% with the cutoff point for the GCS of 13. In conclusion, the independent factors associated with intracranial hemorrhage in patients with mild head injury who were determined to be at moderate risk for the condition included history of hypertension, headache, loss of consciousness, and baseline GCS score.