Computed Tomography Head Ordering Practices in Residential Aged Care Facility Residents Presenting to Emergency Department After an Unwitnessed Fall

CT head imaging was common among RACF residents with unwitnessed falls despite low diagnostic yield and infrequent changes in management, with no neurosurgical intervention in our cohort. Limited documentation of SDM calls for stronger integration of meaningful patient-centred discussions to reduce avoidable transfers and imaging.

Authors

Nemat Alsaba (ORCID: https://orcid.org/0000-0003-3251-3487)
Amy Sweeny (ORCID: https://orcid.org/0000-0001-8392-5612)
Elizabeth S. Chen (ORCID: https://orcid.org/0009-0004-2598-7400)
Gerben Keijzers (ORCID: https://orcid.org/0000-0003-1100-4552)
Megan McGonagle
Clover Donohue

Institutions

Griffith University (AU)
Bond University (AU)
Queensland Health (AU)
The University of Queensland (AU)
Gold Coast Hospital (AU)
Robina Hospital (AU)

Publication Details

Journal: Emergency Medicine Australasia
Published: 2025-09-16
DOI: https://doi.org/10.1111/1742-6723.70137
Primary Topic: Traumatic Brain Injury and Neurovascular Disturbances
Type: article
Field-Weighted Citation Impact: 0.00

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article

Computed Tomography Head Ordering Practices in Residential Aged Care Facility Residents Presenting to Emergency Department After an Unwitnessed Fall

Nemat Alsaba, Amy Sweeny, Elizabeth S. Chen, Gerben Keijzers et al.

Sep 16, 2025

Emergency Medicine Australasia

Traumatic Brain Injury and Neurovascular Disturbances

article

Computed Tomography Head Ordering Practices in Residential Aged Care Facility Residents Presenting to Emergency Department After an Unwitnessed Fall

Nemat Alsaba, Amy Sweeny, Elizabeth S. Chen, Gerben Keijzers, Megan McGonagle, Clover Donohue

September 16, 2025article en

Abstract

CT head imaging was common among RACF residents with unwitnessed falls despite low diagnostic yield and infrequent changes in management, with no neurosurgical intervention in our cohort. Limited documentation of SDM calls for stronger integration of meaningful patient-centred discussions to reduce avoidable transfers and imaging.

Emergency Medicine AustralasiaVol. 37(5)

Griffith University (AU), Bond University (AU), Queensland Health (AU), The University of Queensland (AU), Gold Coast Hospital (AU), Robina Hospital (AU)

Openalex Percentile: Top 64%

Traumatic Brain Injury and Neurovascular Disturbances

DOI Source OpenAlex

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Computed Tomography Head Ordering Practices in Residential Aged Care Facility Residents Presenting to Emergency Department After an Unwitnessed Fall — Nemat Alsaba, Amy Sweeny, et al. · Emergency Medicine Australasia (2025) | TGRS Research Map | TGRS