Prevalence of Pathological Lesion Due to Mild Head Trauma in Computed Tomography Scan of Patients’ Brains

Background and aims: This study investigated the prevalence of pathological lesions on the computed tomography (CT) scans of the brains of patients with mild head trauma based on the New Orleans- Canadian criteria at Shahrekord Ayatollah Kashani Hospital, Iran. Methods: All patients referred to t...

Full description

Bibliographic Details
Main Author: Abdolrahim Sanei
Format: Article
Language:English
Published: Shahrekord University of Medical Sciences 2023-09-01
Series:Epidemiology and Health System Journal
Subjects:
Online Access:https://ehsj.skums.ac.ir/Article/ijer-2211-1511
_version_ 1797647742847156224
author Abdolrahim Sanei
author_facet Abdolrahim Sanei
author_sort Abdolrahim Sanei
collection DOAJ
description Background and aims: This study investigated the prevalence of pathological lesions on the computed tomography (CT) scans of the brains of patients with mild head trauma based on the New Orleans- Canadian criteria at Shahrekord Ayatollah Kashani Hospital, Iran. Methods: All patients referred to the Emergency Department of Shahrekord Ayatollah Kashani Hospital in 2019 with a history of head trauma were included in this cross-sectional, descriptive-analytical study according to the criteria of mild head trauma. Then, the relevant checklist was used to record the patients’ level of consciousness, demographic information, and cause of trauma. Finally, the data were analyzed using SPSS 18, and the patient’s lesions were reported accordingly. Results: Out of 143 patients, 89 were males, and 54 were females in this study. Falling from a height was the cause of head trauma in most patients (43.3%). Among all patients, the CT scans of six patients were abnormal and had lesions. The vomiting had a significant relationship with the results of the CT scan, and for patients with mild head trauma, the Canadian and New Orleans indices had the same clinical importance. Conclusion: According to the results of the present study, the New Orleans index could identify more patients as CT scan candidates than the Canadian index; however, there was no difference in the final result (the presence of a pathological lesion in the CT scan) between these two indices. The New Orleans index has more features than the Canadian index, but its results are not different from the Canadian index. Thus, we believe that using the Canadian index can reduce imaging rates, costs, and protection from the side effects of radiation.
first_indexed 2024-03-11T15:20:55Z
format Article
id doaj.art-43386603621f4dd7b68cc89d6865a664
institution Directory Open Access Journal
issn 2980-7891
language English
last_indexed 2024-03-11T15:20:55Z
publishDate 2023-09-01
publisher Shahrekord University of Medical Sciences
record_format Article
series Epidemiology and Health System Journal
spelling doaj.art-43386603621f4dd7b68cc89d6865a6642023-10-28T07:21:00ZengShahrekord University of Medical SciencesEpidemiology and Health System Journal2980-78912023-09-0110313113510.34172/ehsj.2023.21Prevalence of Pathological Lesion Due to Mild Head Trauma in Computed Tomography Scan of Patients’ BrainsAbdolrahim Sanei0https://orcid.org/0000-0002-2230-5775Clinical Research Development Unit, Ayatollah Kashani Hospital, Shahrekord University of Medical Sciences, Shahrekord, IranBackground and aims: This study investigated the prevalence of pathological lesions on the computed tomography (CT) scans of the brains of patients with mild head trauma based on the New Orleans- Canadian criteria at Shahrekord Ayatollah Kashani Hospital, Iran. Methods: All patients referred to the Emergency Department of Shahrekord Ayatollah Kashani Hospital in 2019 with a history of head trauma were included in this cross-sectional, descriptive-analytical study according to the criteria of mild head trauma. Then, the relevant checklist was used to record the patients’ level of consciousness, demographic information, and cause of trauma. Finally, the data were analyzed using SPSS 18, and the patient’s lesions were reported accordingly. Results: Out of 143 patients, 89 were males, and 54 were females in this study. Falling from a height was the cause of head trauma in most patients (43.3%). Among all patients, the CT scans of six patients were abnormal and had lesions. The vomiting had a significant relationship with the results of the CT scan, and for patients with mild head trauma, the Canadian and New Orleans indices had the same clinical importance. Conclusion: According to the results of the present study, the New Orleans index could identify more patients as CT scan candidates than the Canadian index; however, there was no difference in the final result (the presence of a pathological lesion in the CT scan) between these two indices. The New Orleans index has more features than the Canadian index, but its results are not different from the Canadian index. Thus, we believe that using the Canadian index can reduce imaging rates, costs, and protection from the side effects of radiation.https://ehsj.skums.ac.ir/Article/ijer-2211-1511brain ct x-raymild traumacanadian-new orleans criteria
spellingShingle Abdolrahim Sanei
Prevalence of Pathological Lesion Due to Mild Head Trauma in Computed Tomography Scan of Patients’ Brains
Epidemiology and Health System Journal
brain ct x-ray
mild trauma
canadian-new orleans criteria
title Prevalence of Pathological Lesion Due to Mild Head Trauma in Computed Tomography Scan of Patients’ Brains
title_full Prevalence of Pathological Lesion Due to Mild Head Trauma in Computed Tomography Scan of Patients’ Brains
title_fullStr Prevalence of Pathological Lesion Due to Mild Head Trauma in Computed Tomography Scan of Patients’ Brains
title_full_unstemmed Prevalence of Pathological Lesion Due to Mild Head Trauma in Computed Tomography Scan of Patients’ Brains
title_short Prevalence of Pathological Lesion Due to Mild Head Trauma in Computed Tomography Scan of Patients’ Brains
title_sort prevalence of pathological lesion due to mild head trauma in computed tomography scan of patients brains
topic brain ct x-ray
mild trauma
canadian-new orleans criteria
url https://ehsj.skums.ac.ir/Article/ijer-2211-1511
work_keys_str_mv AT abdolrahimsanei prevalenceofpathologicallesionduetomildheadtraumaincomputedtomographyscanofpatientsbrains