Do routinely repeated computed tomography scans in traumatic brain injury influence management?: A prospective observational study in a level 1 trauma center

Abstract

OBJECTIVE:: To prospectively examine the clinical role of routine repeat computed tomographic scans of the brain (CTB) in patients with traumatic head injury. SUMMARY BACKGROUND DATA:: The use of routine serial CTB after traumatic head injury is recommended by some authors, but remains controversial. METHODS:: From March 2007 to October 2008, all patients with traumatic head injury admitted to the Royal Melbourne Hospital, a metropolitan, Level I trauma center, were prospectively studied. After the initial computed tomography brain scans, any subsequent CTBs were assessed and were recorded as being either "clinically indicated" or "routine" and ensuing medical and surgical management. Inpati..