Original article

Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice Deborah Schonfeld,1,2 Silvia Bressan,3 Liviana Da Dalt,3 Mira N Henien,1 Jill A Winnett,1 Lise E Nigrovic1 1

Division of Emergency Medicine, Boston Children’s Hospital, Boston, Massachusetts, USA 2 Division of Emergency Medicine, the Hospital for Sick Children, Toronto, Ontario, Canada 3 Department of Woman’s and Child’s Health, University of Padova, Padova, Italy Correspondence to Dr Lise E Nigrovic, Division of Emergency Medicine, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Lise.nigrovic@childrens. harvard.edu Received 5 August 2013 Revised 14 December 2013 Accepted 16 December 2013 Published Online First 15 January 2014

ABSTRACT Objective The Pediatric Emergency Care Applied Research Network (PECARN) traumatic brain injury (TBI) age-based clinical prediction rules identify children at very low risk of a significant head injury who can safely avoid CT. Our goal was to independently validate these prediction rules. Design Cross-sectional study. Setting Two paediatric emergency departments located in USA and in Italy. Patients All children presenting within 24 h of a head injury with a Glasgow Coma Score of ≥14. Intervention Assessment of PECARN TBI clinical predictors. Main outcome measure Clinically important TBI defined as head injury resulting in death, intubation for >24 h, neurosurgery or two or more nights of hospitalisation for the management of head trauma. Results During the study period, we included 2439 children (91% of eligible patients), of which 959 (39%) were

Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice.

The Pediatric Emergency Care Applied Research Network (PECARN) traumatic brain injury (TBI) age-based clinical prediction rules identify children at v...
393KB Sizes 0 Downloads 0 Views