Behov av handläggningsrutiner för lätt skallskadade patienter

Translated title of the contribution: Routines required for management of minor head injury (MHI)

Johan Bellner, Tor Ingebrigtsen, Bertil Romner*

*Corresponding author for this work

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Developing guidelines for quality assurance in the management of head injury requires knowledge concerning present management practice. We studied management of minor head injury (MHI) using a cross-sectional mail survey of 76 Swedish hospitals. In 96% of the hospitals, initial patient evaluation, frequently performed by inexperienced physicians, entails neurological assessment according to the Swedish Reaction Level Scale or the Glasgow Coma Scale, while computerised tomography (CT) is used routinely in 4%. This survey indicates great variability in the management of MHI in hospitals in Sweden. Fifteen (21%) hospitals consistently hospitalise all MHI patients for overnight observation, while 56 (79%) have established criteria for early discharge of selected patients. Routines for neurological assessment are satisfactory, while CT scan for skull fracture and early diagnosis of intracranial complications is usually not performed.

Original languageSwedish
Pages (from-to)5196-5198
Number of pages3
JournalLakartidningen
Volume96
Issue number47
Publication statusPublished - 1999
Externally publishedYes

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