Variability in the indication of brain CT scan after mild traumatic brain injury. A transnational survey

• DOI: 10.1007/s00068-022-01902-5
• Publication Date: 2022-02-18T04:36:10Z
• Authors: Alfonso Lagares; Ana María Castaño...; Marion Richard; Parmenion Philip ...; Julian Morales; Podaru Mihai; Vladislav Pavlov; Odile Mejan; Javier de la Cruz; Jean François Payen; ; Maxime Maignan; Laurent Jacquin; Marion Douplat; Said Laribi; Philippe Pes; Patrick Ray; Jérémy Guenezan; Mustapha Sebbane; Frédéric Balen; Guillaume Durand; Cordelia Abric; María Teresa Lorca; Mariana Garcia Ponce; Maite Cuesta; Jose A. F. Alén
• Keywords: Sports medicine; Guideline; Level of consciousness

Clinical guidelines have been developed to standardize the management of mild traumatic brain injury (mTBI) in emergency room, particular indication CT scan and use blood biomarkers. The objective this study was determine degree adherence these patients across four countries Southern Europe.An electronic survey including structural general mTBI six clinical vignettes conducted. In-charge physicians from France, Spain, Greece Portugal were contacted by telephone email. Differences among searched using an unconditional approach test on contingency tables.One hundred eighty eight 131 Hospitals (78 36 12 5 Portugal) completed questionnaire. There differences regarding in-charge specialist countries. variability their adherence. Spain country with least guideline a global agreement ordering for receiving anticoagulation or platelet inhibitors, seizures, altered consciousness, neurological deficit, signs skull fracture facial fracture. Aging not French centres. Loss consciousness posttraumatic amnesia considered as indications more frequently than France. These findings line data 6 vignettes. estimated reached around 50% cases. S100B is restricted five centres.There large variations adherence, especially situations order after mTBI.