ArticleIn vivo (Athens, Greece)
Predictors of Intracranial Hemorrhage on Initial Head Computed Tomography After Mild Traumatic Brain Injury.
Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND/
aimTraumatic intracranial hemorrhage after mild traumatic brain injury (mTBI) remains a major clinical challenge, particularly in aging societies. This study characterized the incidence, clinical relevance, and associated clinical factors of computed tomography (CT)-positive traumatic intracranial lesions in adults with mTBI. PATIENTS AND
methodsRelevant data were retrospectively collected from adults with mTBI who underwent head CT at our Emergency Department between April 2023 and April 2024. Clinical characteristics, medication exposure, CT findings, and the need for neurosurgical intervention were analyzed. CT images were interpreted in routine practice by Board-certified radiologists, and CT-positive cases were classified according to the Marshall CT criteria.
resultsOf 471 patients (mean age: 70 years), 66 (14.0%) had CT-confirmed traumatic intracranial hemorrhage. Male sex and antiplatelet use were more frequent in the CT-positive group than in the CT-negative group (59.1%
conclusionIn this CT-selected older cohort with mTBI, CT-positive traumatic intracranial lesions were not rare. Although most lesions were radiologically mild, a clinically important minority required neurosurgical intervention. These findings support emphasizing radiological severity and downstream management, not CT positivity alone, when evaluating older adults with mTBI.
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