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Congress: ECR25
Poster Number: C-20162
Type: Poster: EPOS Radiologist (scientific)
DOI: 10.26044/ecr2025/C-20162
Authorblock: K. E. Oloriade, A. Khan; Wigan/UK
Disclosures:
Kehinde Emmanuel Oloriade: Nothing to disclose
Alizah Khan: Nothing to disclose
Keywords: Head and neck, Neuroradiology brain, Trauma, CT, Cost-effectiveness, Radiation safety, Acute, Trauma
Purpose In its 2014 briefing paper, the National Institute for Health and Care Excellence (NICE) defines head injury as any trauma (external force) to the head other than superficial injuries to the face. It also defines traumatic brain injury as a traumatically induced structural injury and/or physiological disruption of brain function as a result of an external force that is indicated by new onset or worsening of at least one of the following clinical signs, immediately following the event:  any period of...
Read more Methods and materials Background: Most patients with head injuries are managed without surgical intervention2, however, as the most common cause of death and disability in individuals between 1-40 years in the UK3, prompt investigations and intervention for head injury is life-saving in traumatic cases and potentially reduces long term pressures on the health care system.The NICE guidelines of 2003/2007 changed the primary imaging modality to assess head injury from skull radiography to CT scanning. The revised NICE guidelines, reviewed in 2023, recommend that...
Read more Results Inclusion: All patients within the stated duration with head injury listed as (part of) the indications for a CT request. A total of 38 patients (36 adults and 2 children) were included.Exclusion: 1 excluded- Incomplete informationThe session CT Head scan was completed/reported; Daytime scans, 9:00-5:00 PM, Monday to Friday- 14. Others (Out-of-hours and weekends) scans -24. Findings No intracranial events were identified in these scans. 4 patients had extracranial events, not obvious on examination. Orbital floor fracture Haemosinus Subperiosteal haematomas Time from ED to Scan: General average- 38 minutes Daytime scans-...
Read more Conclusion Compliance with the NICE guidelines on indications for requesting and vetting CT Head scans and the recommended target for the time to scan from vetting was demonstrated. The findings of this audit were presented at a departmental meeting where the scope was discussed for improving the reporting time, with confounding factors such as acute CT list training reports awaiting senior review and verification, and the use of outsourcing on-call data. An annual re-audit is recommended.            
Read more References Ebrahim P, Andrew K., Spence N. (2019). Royal College of Radiologists, Audit Live, Compliance with NICE Guidelines 2014 for Traumatic Head Injury in regard to CT. Health and Social Care Directorate, National Institute for Health and Care Excellence. (2014). Quality standards and indicators briefing paper, Head Injury. National Institute for Health and Care Excellence. (2023). Head injury: assessment and early management  [NICE Guideline  [NG232 ]      
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