| Urgent computed tomography brain scan for elderly patients: can we improve its diagnostic yield? | |
| | |
MedLine Citation:
|
PMID: 22186148 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
We conducted a retrospective study of 291 patients aged 75 years or older who were admitted to the emergency department and who underwent a computed tomography (CT) brain scan. Our aims were to assess the reasons for requesting an urgent CT brain scan, to record the diagnostic yield of cerebral imaging, and to seek out predictive factors of an intracranial pathology. The three main reasons for requesting an urgent CT brain scan were the presence of localizing signs (60%), delirium (21%), and disorders of consciousness with a Glasgow Coma Score of less than 14 (14.5%). In our elderly population, we found no typical patient profile when concerned with the risk of having an intracranial pathology. The multivariate logistic regression found that predictive factors for intracranial bleeding were localizing signs, disorders of consciousness with a Glasgow Coma Score of less than 14, head trauma, sudden-onset headache, or headache associated with at least two episodes of vomiting. |
| | |
Authors:
|
Julien Segard; Emmanuel Montassier; David Trewick; Philippe Le Conte; Benoit Guillon; Gilles Berrut |
Related Documents
:
|
12961108 - Ultrafast fetal mri and prenatal diagnosis. 18928578 - Fetal neuroimaging: ultrasound, mri, or both? 9016238 - Mr imaging of the fetus by a haste sequence. 21686608 - Eosinophilic vasculitis in an isolated central nervous system distribution. 12377138 - Patterns of cerebral atrophy in dementia with lewy bodies using voxel-based morphometry. 16038698 - Bile duct complications of hepatic arterial infusion chemotherapy evaluated by helical ct. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-12-18 |
Journal Detail:
|
Title: European journal of emergency medicine : official journal of the European Society for Emergency Medicine Volume: - ISSN: 1473-5695 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
|
Created Date: 2011-12-21 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9442482 Medline TA: Eur J Emerg Med Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
aEmergency Department, University Hospital Hotel Dieu of Nantes bDepartments of Neurology cGeriatrics, University Hospital Laennec of Nantes, Nantes, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Management of supraventricular tachycardia using the Valsalva manoeuvre: a historical review and su...
Next Document: The First View Concept: introduction of industrial flow techniques into emergency medicine organiza...