Patienter med debuterende psykose skal ikke skannes rutinemæssigt

Bjørn H Ebdrup; Henrik Kai Francis Lublin; Per Akeson; Birte Glenthøj

Patienter med debuterende psykose skal ikke skannes rutinemæssigt

Translated title of the contribution: [Patients with first-episode psychosis should not be scanned routinely]

Bjørn H Ebdrup, Henrik Kai Francis Lublin, Per Akeson, Birte Glenthøj

2 Citations (Scopus)

Abstract

In this systematic review of the literature, we reviewed the evidence for maintaining the current recommendation that a routine CT scan should be performed in first-episode psychotic patients (Danish National Board of Health). We identified eight papers comprising 625 CT and 214 MRI scans. The share of potentially causal brain abnormalities was 0.8% with CT and 3.3% with MRI, but the findings had limited clinical consequences. We concluded that there is no evidence in support of performing routine CT scans of first-episode psychotic patients. If intracranial pathology is suspected clinically, an MRI scan should be performed.

Translated title of the contribution	[Patients with first-episode psychosis should not be scanned routinely]
Original language	Danish
Journal	Ugeskrift for Laeger
Volume	173
Issue number	7
Pages (from-to)	484-9
Number of pages	6
Publication status	Published - 14 Feb 2011

Cite this

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abstract = "In this systematic review of the literature, we reviewed the evidence for maintaining the current recommendation that a routine CT scan should be performed in first-episode psychotic patients (Danish National Board of Health). We identified eight papers comprising 625 CT and 214 MRI scans. The share of potentially causal brain abnormalities was 0.8\% with CT and 3.3\% with MRI, but the findings had limited clinical consequences. We concluded that there is no evidence in support of performing routine CT scans of first-episode psychotic patients. If intracranial pathology is suspected clinically, an MRI scan should be performed.",

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AU - Glenthøj, Birte

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N2 - In this systematic review of the literature, we reviewed the evidence for maintaining the current recommendation that a routine CT scan should be performed in first-episode psychotic patients (Danish National Board of Health). We identified eight papers comprising 625 CT and 214 MRI scans. The share of potentially causal brain abnormalities was 0.8% with CT and 3.3% with MRI, but the findings had limited clinical consequences. We concluded that there is no evidence in support of performing routine CT scans of first-episode psychotic patients. If intracranial pathology is suspected clinically, an MRI scan should be performed.

AB - In this systematic review of the literature, we reviewed the evidence for maintaining the current recommendation that a routine CT scan should be performed in first-episode psychotic patients (Danish National Board of Health). We identified eight papers comprising 625 CT and 214 MRI scans. The share of potentially causal brain abnormalities was 0.8% with CT and 3.3% with MRI, but the findings had limited clinical consequences. We concluded that there is no evidence in support of performing routine CT scans of first-episode psychotic patients. If intracranial pathology is suspected clinically, an MRI scan should be performed.

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Patienter med debuterende psykose skal ikke skannes rutinemæssigt

Abstract

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