<![CDATA[Head trauma remains a major cause of mortality and neurological disability, requiring prompt assessment to identify intracranial abnormalities and guide appropriate management. This study aimed to examine the association between head injury severity, as assessed using the Glasgow Coma Scale (GCS), and head computed tomography (CT) findings among patients at Royal Prima Ayahanda Hospital. An observational study with a cross-sectional design was conducted using retrospective medical record data from 2024 to 2025. Total sampling was applied, resulting in 70 patients who met the inclusion criteria. Head injury severity based on GCS scores was categorized as mild, moderate, or severe, while head CT findings were classified as normal or abnormal. Data were analyzed using univariate analysis and the chi-square test, with a significance level of 0.05. Most patients were male (62.9%), were aged 36–64 years (38.6%), and had mild head injuries (81.4%). Head CT examinations showed normal findings in 30 patients and abnormal findings in 40 patients. Among patients with mild head injuries, 27 had abnormal CT findings, whereas all patients with moderate and severe head injuries had abnormal CT findings. Statistical analysis demonstrated a significant association between GCS-based head injury severity and head CT findings (p = 0.003). In conclusion, GCS assessment and head CT imaging should be used complementarily in evaluating patients with head trauma because a mild head injury based on GCS score does not exclude the presence of intracranial abnormalities and may still warrant neuroimaging based on clinical indications.]]>
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