TY  - JOUR
AU  - Watcharakorn, Arvemas
AU  - Romsaiyut, Tanaphat
AU  - Amnuaypattanapon, Kumpol
AU  - Mingkwansook, Varalee
PY  - 2022/08/29
Y2  - 2026/03/01
TI  - Clinical Association Factors for Abnormal Cranial  CT Scan in Moderate-Risk Patients of Mild Traumatic  Brain Injury
JF  - Asian Medical Journal and Alternative Medicine
JA  - AMJAM
VL  - 22
IS  - 2
SE  - Original Articles
DO  - 
UR  - https://asianmedjam.com/index.php/amjam/article/view/339
SP  - 102-111
AB  - &lt;p&gt;&lt;strong&gt;Introduction:&lt;/strong&gt; 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. &lt;br /&gt;&lt;strong&gt;Objective:&lt;/strong&gt; This study’s purpose is to evaluate clinical association factors for abnormal cranial CT scan in moderate-risk patients of mild traumatic brain injury.&lt;br /&gt;&lt;strong&gt;Methods:&lt;/strong&gt; 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).&lt;br /&gt;&lt;strong&gt;Results:&lt;/strong&gt; 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) (&lt;em&gt;P&lt;/em&gt;-value = .040), 4.86 (1.04-22.69) (&lt;em&gt;P&lt;/em&gt;-value = .045) and 2.30 (1.12-4.35) (&lt;em&gt;P&lt;/em&gt;-value = .010), respectively.&lt;br /&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Clinical association factors for abnormal cranial CT scan in moderate-risk patients of mild &lt;br /&gt;traumatic brain injury, including GCS lower than 15, vomiting, and post-traumatic amnesia.&lt;/p&gt;
ER  -