The study suggests a falls decision rule to determine the need for CT imaging in older adults after a fall. The rule emphasizes factors like head impact, neurological deficits, and daily living activities. A simpler-focused rule was also developed for validation. Ordering head CT scans for every older adult who falls is deemed inefficient and costly. The study aimed to exclude intracranial bleeding without unnecessary CT scans. The research assessed predictor variables and enrolled over 4300 older adults to validate the rule. Limitations include the impact of physician discretion on CT scans and undiagnosed intracranial bleeding. The study's findings were published in the Canadian Medical Association Journal.
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by Marilynn Lar... at www.medscape.com 12-04-2023
https://www.medscape.com/viewarticle/when-do-older-adults-need-ct-ed-after-fall-2023a1000u77Deeper Inquiries