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Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: an evidence and consensus-based update

Johan Undén1*, Tor Ingebrigtsen2, Bertil Romner3 and the Scandinavian Neurotrauma Committee (SNC)

Author Affiliations

1 Department of Intensive Care and Perioperative Medicine, Institute for Clinical Sciences, Södra Förstadsgatan 101, 20502 Malmö, Sweden

2 Department of Neurosurgery, Institute for Clinical Medicine, Sykehusveien 38, 9038 Tromsö, Norway

3 Department of Neurosurgery, Institute for Clinical Medicine, Blegdamsvej 9, 2100 Copenhagen, Denmark

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BMC Medicine 2013, 11:50  doi:10.1186/1741-7015-11-50


See related commentary article here http://www.biomedcentral.com/1741-7015/11/51

Published: 25 February 2013

Additional files

Additional file 1:

Table S1. Predictive risk factors with according studies derived from the clinical question: 'Which adult patients with minimal, mild and moderate head injury need a head CT and which patients may be directly discharged?' showing corresponding positive likelihood ratio (PLR), negative likelihood ratio (NLR), prevalence for the reference test (CT findings (CT)), intracranial injury (ICI) and neurosurgery (NS)) and the risk factor prevalence. CT = computed tomography.

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Additional file 2:

Table S2. Evidentiary table of studies with reference to the clinical question: 'Which adult patients with minimal, mild and moderate head injury need a head CT and which patients may be directly discharged?'. CT = computed tomography.

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Additional file 3:

Table S3. Modified Quality Assessment of Diagnostic Accuracy Studies (QUADAS) grading of studies referring to the clinical question: 'Which adult patients with minimal, mild and moderate head injury need a head CT and which patients may be directly discharged?'. CT = computed tomography.

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Additional file 4:

Table S4. Evidentiary table of studies with reference to the clinical question: 'Which adult patients with minimal, mild and moderate head injury need in-hospital observation and/or a repeat head CT?'. CT = computed tomography.

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Additional file 5:

Table S5. Modified Quality Assessment of Diagnostic Accuracy Studies (QUADAS) grading of studies referring to the clinical question: 'Which adult patients with minimal, mild and moderate head injury need in-hospital observation and/or a repeat head CT?'. CT = computed tomography.

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Additional file 6:

Figure S1. Discharge advice for adults following minimal, mild and moderate head injury.

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Additional file 7:

Figure S2. Final management guidelines for adults following minimal, mild and moderate head injury (including help sheet).

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