Clinical decision rules in predicting computed tomography scan findings and need for neurosurgical intervention in mild traumatic brain injury: a prospective observational study.
Seyed Mohammad ForouzanniaHadis NajafimehrRosita Khatamian OskooiGholamreza FaridaalaeeShayan Roshdi DizajiAmirmohammad TolouiSeyed Ali ForouzanniaSeyedeh Niloufar Rafiei AlaviMohammadreza AlizadehSaeed SafariAlireza BaratlooMahmoud YousefifardMostafa HosseiniPublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2023)
The NCWFNS and the NEXUS decision rules performed better than the CCHR and NICE guidelines for predicting any lesion in the CT imaging and neurosurgical intervention among patients with mTBI with GCS 13-15. For a subset of mTBI patients with GCS 15, the NOC criteria have higher sensitivity for abnormal CT imaging, but lower specificity and more requested CTs.