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Summary
We have reviewed the patients with head injuries referred to the Oxford Regional Neurosurgical
Unit over a 2-year period (1980–1982). In 73 per cent of the cases the referring surgeon
suspected an intracranial collection or was experiencing difficulty in managing the
patient. Eighty-one per cent of these patients required nursing in the Intensive Care
Unit; 32 per cent underwent operative intervention.
The total numbers admitted were low and this may suggest that many patients with severe
head injuries are being treated in the district general hospitals when ideally they
should be transferred to a neurosurgical unit. Adherence to suggested guidelines for
transference would necessitate increased neurosurgical facilities.
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References
- Availability of computed tomography for the management of head injuries in England and Wales.Br. Med. J. 1982; 285: 487
- Neurosurgical resources and transfer policies for head injuries.Br. Med. J. 1983; 286: 1791
County Surveyor (1982) Oxfordshire County Council, Road Safety Section.
- Guidelines for initial management after head injury in adults.Br. Med. J. 1984; 288: 983
- Experience with head injuries in a regional neurosurgical unit.Br. J. Surg. 1979; 66: 562
- Epidemiology of head injury.Br. Med. J. 1981; 282: 101
- Oxford Record Linkage Study.1982
- Management of traumatic intracranial haematoma.Br. Med. J. 1982; 285: 1695
- How many beds do we really need—for example, in neurosurgery?.Br. Med. J. 1981; 282: 498
Article info
Publication history
Accepted:
June 25,
1985
Identification
Copyright
© 1986 John Wright & Sons Ltd. All rights reserved. Published by Elsevier Inc.
