Gülşen Ismail, Ak Hakan, Karadaş Sevdegül, Demır Ismail, Bulut Mehmet Deniz, Yaycioğlu Soner
Yüzüncü Yıl University, School of Medicine, Department of Neurosurgery, Van, Turkey.
Bozok University, School of Medicine, Department of Neurosurgery, Yozgat, Turkey.
Emerg Med Int. 2014;2014:248967. doi: 10.1155/2014/248967. Epub 2014 Mar 2.
Objective. To investigate the indications to receive brain computed tomography (CT) scan and to define the pathological findings in children younger than three years of age with minor head trauma in emergency departments. Methods. In this study, hospital case notes of 1350 children attending the emergency department of Bitlis State Hospital between January 2011 and June 2013 were retrospectively reviewed. 508 children under 3 years of age with minor head trauma were included in this study. We also asked 37 physicians about the indications for requiring CT in these children. Results. This study included 508 children, 233 (45,9%) of whom were female and 275 were male. In 476 (93,7%) children, the brain CT was completely normal. 89,2% of physicians asked in the emergency department during that time interval reported that they requested CT scan to protect themselves against malpractice litigation. Conclusion. In infants and children with minor head trauma, most CT scans were unnecessary and the fear of malpractice litigation of physicians was the most common reason for requesting a CT.
目的。调查接受脑部计算机断层扫描（CT）的指征，并确定急诊科中3岁以下轻度头部外伤儿童的病理结果。方法。在本研究中，回顾性分析了2011年1月至2013年6月期间在比特利斯州立医院急诊科就诊的1350名儿童的医院病历。本研究纳入了508名3岁以下轻度头部外伤儿童。我们还询问了37名医生关于这些儿童需要进行CT检查的指征。结果。本研究包括508名儿童，其中233名（45.9%）为女性，275名为男性。476名（93.7%）儿童的脑部CT完全正常。在该时间段内在急诊科接受询问的医生中，89.2%报告称他们要求进行CT扫描是为了避免医疗事故诉讼。结论。在轻度头部外伤的婴幼儿中，大多数CT扫描是不必要的，医生对医疗事故诉讼的担忧是要求进行CT检查的最常见原因。
