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. 1983 Jun 4;286(6380):1791–1793. doi: 10.1136/bmj.286.6380.1791

Neurosurgical resources and transfer policies for head injuries.

J S Bryden, B Jennett
PMCID: PMC1548050  PMID: 6407572

Abstract

Criteria for transferring head injured patients to a regional neurosurgical unit were changed to enable a larger proportion of patients admitted to primary surgical wards to have a CT scan. The yearly number of transfers doubled, more intracranial haematomas were detected, and mortality from this complication was reduced. To operate such a policy requires seven neurosurgical beds per million for head injuries, given the Glasgow practice of early return of patients to primary surgical wards.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. How many beds do we really need--for example, in neurosurgery? Br Med J (Clin Res Ed) 1981 Mar 14;282(6267):903–904. [PMC free article] [PubMed] [Google Scholar]
  2. Jeffreys R. V., Azzam N. I. Experiences with head injuries in a regional neurosurgical unit. Br J Surg. 1979 Aug;66(8):562–564. doi: 10.1002/bjs.1800660813. [DOI] [PubMed] [Google Scholar]
  3. Jeffreys R. V., Jones J. J. Avoidable factors contributing to the death of head injury patients in general hospitals in Mersey Region. Lancet. 1981 Aug 29;2(8244):459–461. doi: 10.1016/s0140-6736(81)90786-8. [DOI] [PubMed] [Google Scholar]
  4. Jennett B., Carlin J. Preventable mortality and morbidity after head injury. Injury. 1978 Aug;10(1):31–39. doi: 10.1016/s0020-1383(79)80044-3. [DOI] [PubMed] [Google Scholar]
  5. Jennett B. How many specialists? Lancet. 1979 Mar 17;1(8116):594–597. doi: 10.1016/s0140-6736(79)91018-3. [DOI] [PubMed] [Google Scholar]
  6. Jennett B., MacMillan R. Epidemiology of head injury. Br Med J (Clin Res Ed) 1981 Jan 10;282(6258):101–104. doi: 10.1136/bmj.282.6258.101. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Mendelow A. D., Campbell D. A., Jeffrey R. R., Miller J. D., Hessett C., Bryden J., Jennett B. Admission after mild head injury: benefits and costs. Br Med J (Clin Res Ed) 1982 Nov 27;285(6354):1530–1532. doi: 10.1136/bmj.285.6354.1530. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Rose J., Valtonen S., Jennett B. Avoidable factors contributing to death after head injury. Br Med J. 1977 Sep 3;2(6087):615–618. doi: 10.1136/bmj.2.6087.615. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Rudge J. F., Richards B. W. Strategic planning of acute beds by specialty. Br Med J. 1979 Nov 10;2(6199):1240–1242. doi: 10.1136/bmj.2.6199.1240. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Teasdale G., Galbraith S., Murray L., Ward P., Gentleman D., McKean M. Management of traumatic intracranial haematoma. Br Med J (Clin Res Ed) 1982 Dec 11;285(6356):1695–1697. doi: 10.1136/bmj.285.6356.1695. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Weston P. A. Admission policy for patients following head injury. Br J Surg. 1981 Sep;68(9):663–664. doi: 10.1002/bjs.1800680917. [DOI] [PubMed] [Google Scholar]
  12. Winyard G. P., McNeilly R. H., Adams C. B. How many beds do we really need--for example, in neurosurgery? Br Med J (Clin Res Ed) 1981 Feb 7;282(6262):498–499. doi: 10.1136/bmj.282.6262.498. [DOI] [PMC free article] [PubMed] [Google Scholar]

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