Emergency Department Time Course for Mild Traumatic Brain Injury Workup

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)
Edward A.,Huff,J. Stephen,Loparo,Mae,Naunheim,Rosanne S., Michelson (Creator)
East Carolina University (ECU )
Web Site: http://www.ecu.edu/lib/

Abstract: Introduction: Mild traumatic brain injury (mTBI) is a common cause for visits to the emergency department(ED). The actual time required for an ED workup of a patient with mTBI in the United States is not wellknown. National emergency medicine organizations have recommended reducing unnecessary testing,including head computed tomography (CT) for these patients.10Methods: To examine this issue, we developed a care map that included each step of evaluation of mTBI(Glasgow Coma Scale Score 13-15) -- from initial presentation to the ED to discharge. Time spent at eachstep was estimated by a panel of United States emergency physicians and nurses. We subsequentlyvalidated time estimates using retrospectively collected, real-time data at two EDs. Length of stay (LOS)time differences between admission and discharged patients were calculated for patients being evaluatedfor mTBI.Results: Evaluation for mTBI was estimated at 401 minutes (6.6 hours) in EDs. Time related to head CTcomprised about one-half of the total LOS. Real-time data from two sites corroborated the estimate ofmedian time difference between ED admission and discharge, at 6.3 hours for mTBI.Conclusion: Limiting use of head CT as part of the workup of mTBI to more serious cases may reduce timespent in the ED and potentially improve overall ED throughput.

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Language: English
Date: 2018

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TitleLocation & LinkType of Relationship
Emergency Department Time Course for Mild Traumatic Brain Injury Workuphttp://hdl.handle.net/10342/8511The described resource references, cites, or otherwise points to the related resource.