Müller Kay, Romner Bertil, Ingebrigtsen Tor, Waterloo Knut, Wester Knut
Nevrokirurgisk avdeling, Universitetssykehuset Nord-Norge, 9038 Tromsø.
Tidsskr Nor Laegeforen. 2006 Apr 27;126(9):1205-7.
A national survey in 1996 showed insufficient routines for management of patients with mild head injuries in Norwegian hospitals. Since then, the Scandinavian guidelines for management of mild head injuries have been published.
A cross-sectional questionnaire survey of management practice was performed in all 59 hospitals in 2002. We compared the results with figures from 1996 and evaluated guideline compliance.
The proportion of noncompliant hospitals was reduced (p = 0.02) from 52% to 31%. The proportion assessing patient consciousness according to the Glasgow Coma Scale increased (p = 0.001) from 49% to 80%. The proportion requiring a normal computed tomographic scan if a patient with a history of loss of consciousness was to be discharged from the emergency department increased (p < 0.001) from 2% to 19%.
The Scandinavian guidelines have had a significant impact on management practice in Norwegian hospitals.
1996年的一项全国性调查显示，挪威医院对轻度头部受伤患者的管理常规不足。自那时起，斯堪的纳维亚半岛轻度头部受伤管理指南已发布。
2002年对所有59家医院进行了管理实践的横断面问卷调查。我们将结果与1996年的数据进行比较，并评估指南依从性。
不符合规定的医院比例从52%降至31%（p = 0.02）。根据格拉斯哥昏迷量表评估患者意识的比例从49%增至80%（p = 0.001）。如果有昏迷史的患者要从急诊科出院，要求进行正常计算机断层扫描的比例从2%增至19%（p < 0.001）。
斯堪的纳维亚半岛指南对挪威医院的管理实践产生了重大影响。
