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. 1979 Oct 20;2(6196):955–958. doi: 10.1136/bmj.2.6196.955

Head injuries in three Scottish neurosurgical units. Scottish head injury management study.

B Jennett, A Murray, J Carlin, M McKean, R MacMillan, I Strang
PMCID: PMC1596571  PMID: 509175

Abstract

The organisation of care for patients with head injuries in Scotland was investigated by studying retrospectively 785 patients admitted in 1974 and 1975 to neurosurgical units in Glasgow, Aberdeen, and Dundee. The reasons for the injuries and the patients' clinical conditions were similar in each unit. The referral practices at the hospitals containing the units were compared and found to be different from that of the unit in Edinburgh. It is concluded that patients in the Glasgow, Aberdeen, and Dundee units, which operate a similar policy for head-injured patients, are in general similar. Transferring to a neurosurgical unit only selected patients rather than all patients with head injuries is safe practice only if policies are agreed with primary surgeons and patients can be transferred without delay.

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Selected References

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

  1. Bartlett J. R., Neil-Dwyer G. A clinical study of the EMI scanner: implications for provision of neuroradiological services. Br Med J. 1978 Sep 16;2(6140):813–815. doi: 10.1136/bmj.2.6140.813. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bucy P. C. Editorial: Can we learn? Surg Neurol. 1976 Aug;6(2):82–82. [PubMed] [Google Scholar]
  3. 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]
  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., Teasdale G. Aspects of coma after severe head injury. Lancet. 1977 Apr 23;1(8017):878–881. doi: 10.1016/s0140-6736(77)91201-6. [DOI] [PubMed] [Google Scholar]
  6. Jennett B., Teasdale G., Braakman R., Minderhoud J., Heiden J., Kurze T. Prognosis of patients with severe head injury. Neurosurgery. 1979 Apr;4(4):283–289. doi: 10.1227/00006123-197904000-00001. [DOI] [PubMed] [Google Scholar]
  7. MacMillan R., Strang I., Jennett B. Head injuries in primary surgical wards in Scottish hospitals. Health Bull (Edinb) 1979 Mar;37(2):75–81. [PubMed] [Google Scholar]
  8. Mendelow A. D., Karmi M. Z., Paul K. S., Fuller G. A., Gillingham F. J. Extradural haematoma: effect of delayed treatment. Br Med J. 1979 May 12;1(6173):1240–1242. doi: 10.1136/bmj.1.6173.1240. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. 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]
  10. Strang I., MacMillan R., Jennett B. Head injuries in accident and emergency departments at Scottish hospitals. Injury. 1978 Nov;10(2):154–159. doi: 10.1016/s0020-1383(79)80084-4. [DOI] [PubMed] [Google Scholar]
  11. Teasdale G., Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974 Jul 13;2(7872):81–84. doi: 10.1016/s0140-6736(74)91639-0. [DOI] [PubMed] [Google Scholar]

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