@article{Watcharakorn_Romsaiyut_Amnuaypattanapon_Mingkwansook_2022, title={Clinical Association Factors for Abnormal Cranial CT Scan in Moderate-Risk Patients of Mild Traumatic Brain Injury}, volume={22}, url={https://asianmedjam.com/index.php/amjam/article/view/339}, abstractNote={<p><strong>Introduction:</strong> Moderate-risk patients with mild traumatic brain injury have not needed routine cranial CT scans. The management can be observed after presentation or undergoing a cranial CT scan. A cranial CT scan in this group is warranted in selected cases. This study aims to find clinical association factors for abnormal cranial CT scan in moderate-risk patients of mild traumatic brain injury for identifying the patients who may need a cranial CT scan to reduce unnecessary cranial CT scans and the cost of treatment. <br /><strong>Objective:</strong> This study’s purpose is to evaluate clinical association factors for abnormal cranial CT scan in moderate-risk patients of mild traumatic brain injury.<br /><strong>Methods:</strong> Data of moderate-risk patients with mild traumatic brain injury of Thammasat University Hospital with age ≥ 18 years and ≤ 64 years who underwent a cranial CT scan within the first 24 hours after the onset of the injury were collected. Multivariable logistic regression was used to determine positive CTs’ adjusted odds ratio (OR).<br /><strong>Results:</strong> Of all 225 patients, 134 (59.6%) had negative cranial CT findings, and 91 (40.4%) had positive cranial CT findings. There were three independent clinical presentations associated with abnormal cranial CT findings including GCS, vomiting and post-traumatic amnesia, the adjusted OR (95% CI) of which were 2.32 (1.04-5.20) (<em>P</em>-value = .040), 4.86 (1.04-22.69) (<em>P</em>-value = .045) and 2.30 (1.12-4.35) (<em>P</em>-value = .010), respectively.<br /><strong>Conclusions:</strong> Clinical association factors for abnormal cranial CT scan in moderate-risk patients of mild <br />traumatic brain injury, including GCS lower than 15, vomiting, and post-traumatic amnesia.</p>}, number={2}, journal={Asian Medical Journal and Alternative Medicine}, author={Watcharakorn, Arvemas and Romsaiyut, Tanaphat and Amnuaypattanapon, Kumpol and Mingkwansook, Varalee}, year={2022}, month={Aug.}, pages={102–111} }