Frequency Evaluation of Brain Control CT Scans and Indication Conformity in Patients with Blunt Trauma
Abstract
In this study, we decided to evaluate the rate of CT scans performed and whether the reason for complying with the instructions and only routine control scans is performed in patients with cerebral blunt trauma.
Methods: Due to the high volume of trauma patients, the clustering method will be used to facilitate sampling. In this study, a cross-sectional was conducted in full from April 2019 to April 2020. The studied data, including age, sex, injury mechanism, will be collected. Patient CT-Scan brain report results were recorded at the time of admission, the number of times CT-Scan brain need was repeated, CT-Scan brain repetition indications, CT-Scan brain report results after repetition if indicated, and other clinical interventions. All interventions performed due to cerebral blunt trauma following CT-Scan repetitions were recorded. Data were collected using a data collection form designed by the researcher. The data obtained in this study were analyzed by SPSS statistical analysis software version 20.
Results: In this study, 25254 people entered the study, these patients are traumatic patients who were discharged from the emergency room and were not hospitalized. Data analysis by the Kolmogorov-Smirnov statistical method does not follow a normal distribution. A review of new imaging findings in a CT scan did not show any new findings in any of the patients, nor did it change previous findings. There is a significant relationship between the cause of trauma and repeated CT scans (Pv≤0.0001), meaning that all CT scans were in control of falling from a height. There was no recurrence of CT scan between patient outcomes (Pv≤0.308). The length of hospital stay was significantly related to the repetition of the CT scan (Pv≤0.0001). Recurrence of CT scan control is more common in younger people and has a significant relationship between age and recurrence of CT scans (Pv≤0.0001).