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Clinically, although it may appear that there may be minor head trauma (GCS score ≥13), there may be severe intracranial injuries that require prompt treatment
.
This systematic review aims to assess the accuracy of the signs and symptoms of head trauma in adults to identify patients
with severe intracranial injury.
The researchers searched MEDLINE (1966-2015) and the CochraneLibrary comprehensively to identify studies
evaluating the diagnosis of intracranial injury.
Studies include the use of neuroimaging reference standards or subsequent evaluation to determine the outcomes of intracranial injury
.
Three authors independently completed the literature evaluation and data extraction
.
The results found that among the 23,079 patients with minor head trauma, the prevalence of severe intracranial injury (requiring timely intervention) was 7.
In patients with minor head trauma, the likelihood ratio of CT not showing the presence of intracranial injury was 0.
Clinical decision-making, combined with the patient's history of injury and the characteristics of physical examination, identifies patients with minor head trauma with
a low risk of intracranial injury.
