Frühe Kontroll-Computertomografien des Schädels bei beatmeten Polytraumapatienten mit Verdacht auf Schädel-Hirn-Trauma - Befunde und Einfluss auf die Intensivtherapie. Schlereth, S. Ph.D. Thesis, Julius-Maximilians-Universität, Würzburg, October, 2013. Paper abstract bibtex Background. Missed or delayed detection of progressive neuronal damage after traumatic brain injury (TBI) may have negative impact on the outcome. We investigated whether routine follow-up CT is beneficial in sedated and mechanically ventilated trauma patients. Methods. The study design is a retrospective chart review. A routine follow-up cCT was performed 6 hours after the admission scan. We defined 2 groups of patients, group I: patients with equal or recurrent pathologies and group II: patients with new findings or progression of known pathologies. Results. A progression of intracranial injury was found in 63 patients (42%) and 18 patients (12%) had new findings in cCT 2 (group II). In group II a change in therapy was found in 44 out of 81 patients (54%). 55 patients with progression or new findings on the second cCT had no clinical signs of neurological deterioration. Of those 24 patients (44%) had therapeutic consequences due to the results of the follow-up cCT. Conclusion. We found new diagnosis or progression of intracranial pathology in 54% of the patients. In 54% of patients with new findings and progression of pathology, therapy was changed due to the results of follow-up cCT. In trauma patients who are sedated and ventilated for different reasons a routine follow-up CT is beneficial.
@phdthesis{schlereth_fruhe_2013,
address = {Würzburg},
type = {Inaugural – {Dissertation} zur {Erlangung} der {Doktorwürde} der {Medizinischen} {Fakultät}},
title = {Frühe {Kontroll}-{Computertomografien} des {Schädels} bei beatmeten {Polytraumapatienten} mit {Verdacht} auf {Schädel}-{Hirn}-{Trauma} - {Befunde} und {Einfluss} auf die {Intensivtherapie}},
copyright = {https://opus.bibliothek.uni-wuerzburg.de/doku/lic\_mit\_pod.php},
url = {https://opus.bibliothek.uni-wuerzburg.de/frontdoor/index/index/docId/10532},
abstract = {Background. Missed or delayed detection of progressive neuronal damage after traumatic brain injury (TBI) may have negative impact on the outcome. We investigated whether routine follow-up CT is beneficial in sedated and mechanically ventilated trauma patients. Methods. The study design is a retrospective chart review. A routine follow-up cCT was performed 6 hours after the admission scan. We defined 2 groups of patients, group I: patients with equal or recurrent pathologies and group II: patients with new findings or progression of known pathologies. Results. A progression of intracranial injury was found in 63 patients (42\%) and 18 patients (12\%) had new findings in cCT 2 (group II). In group II a change in therapy was found in 44 out of 81 patients (54\%). 55 patients with progression or new findings on the second cCT had no clinical signs of neurological deterioration. Of those 24 patients (44\%) had therapeutic consequences due to the results of the follow-up cCT. Conclusion. We found new diagnosis or progression of intracranial pathology in 54\% of the patients. In 54\% of patients with new findings and progression of pathology, therapy was changed due to the results of follow-up cCT. In trauma patients who are sedated and ventilated for different reasons a routine follow-up CT is beneficial.},
language = {deu},
urldate = {2022-02-03},
school = {Julius-Maximilians-Universität},
author = {Schlereth, Stefan},
month = oct,
year = {2013},
}
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The study design is a retrospective chart review. A routine follow-up cCT was performed 6 hours after the admission scan. We defined 2 groups of patients, group I: patients with equal or recurrent pathologies and group II: patients with new findings or progression of known pathologies. Results. A progression of intracranial injury was found in 63 patients (42%) and 18 patients (12%) had new findings in cCT 2 (group II). In group II a change in therapy was found in 44 out of 81 patients (54%). 55 patients with progression or new findings on the second cCT had no clinical signs of neurological deterioration. Of those 24 patients (44%) had therapeutic consequences due to the results of the follow-up cCT. Conclusion. We found new diagnosis or progression of intracranial pathology in 54% of the patients. In 54% of patients with new findings and progression of pathology, therapy was changed due to the results of follow-up cCT. In trauma patients who are sedated and ventilated for different reasons a routine follow-up CT is beneficial.","language":"deu","urldate":"2022-02-03","school":"Julius-Maximilians-Universität","author":[{"propositions":[],"lastnames":["Schlereth"],"firstnames":["Stefan"],"suffixes":[]}],"month":"October","year":"2013","bibtex":"@phdthesis{schlereth_fruhe_2013,\n\taddress = {Würzburg},\n\ttype = {Inaugural – {Dissertation} zur {Erlangung} der {Doktorwürde} der {Medizinischen} {Fakultät}},\n\ttitle = {Frühe {Kontroll}-{Computertomografien} des {Schädels} bei beatmeten {Polytraumapatienten} mit {Verdacht} auf {Schädel}-{Hirn}-{Trauma} - {Befunde} und {Einfluss} auf die {Intensivtherapie}},\n\tcopyright = {https://opus.bibliothek.uni-wuerzburg.de/doku/lic\\_mit\\_pod.php},\n\turl = {https://opus.bibliothek.uni-wuerzburg.de/frontdoor/index/index/docId/10532},\n\tabstract = {Background. Missed or delayed detection of progressive neuronal damage after traumatic brain injury (TBI) may have negative impact on the outcome. We investigated whether routine follow-up CT is beneficial in sedated and mechanically ventilated trauma patients. Methods. The study design is a retrospective chart review. A routine follow-up cCT was performed 6 hours after the admission scan. We defined 2 groups of patients, group I: patients with equal or recurrent pathologies and group II: patients with new findings or progression of known pathologies. Results. A progression of intracranial injury was found in 63 patients (42\\%) and 18 patients (12\\%) had new findings in cCT 2 (group II). In group II a change in therapy was found in 44 out of 81 patients (54\\%). 55 patients with progression or new findings on the second cCT had no clinical signs of neurological deterioration. Of those 24 patients (44\\%) had therapeutic consequences due to the results of the follow-up cCT. Conclusion. 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