Acta Pædiatrica ISSN 0803-5253
REGULAR ARTICLE
The Pediatric Emergency Care Applied Research Network intermediate-risk predictors were not associated with scanning decisions for minor head injuries Silvia Bressan ([email protected])1,2, Ivan P. Steiner3, Teresa Mion1, Paola Berlese1, Sabrina Romanato1, Liviana Da Dalt1,4 1.Department of Women’s and Children’s Health, University of Padova, Padova, Italy 2.Murdoch Children’s Research Institute, Melbourne, Vic., Australia 3.Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada 4.Pediatric Unit, Ospedale Ca’ Foncello, Treviso, Italy
Keywords Children, Clinically important traumatic brain injury, Computed tomography scan, Minor head injury, Pediatric Emergency Care Applied Research Network Correspondence Silvia Bressan, Division of Pediatric Emergency Medicine, Department of Women’s and Children’s Health, Via Giustiniani 3, 35128 Padova, Italy. Tel: +39 049 8213505-01 | Fax: +39 049 8213502 | Email: [email protected] Received 23 April 2014; revised 11 June 2014; accepted 28 August 2014. DOI:10.1111/apa.12797
ABSTRACT Aim: This study determined the predictors associated with the decision to perform a computed tomography (CT) scan in children with a minor head injury (MHI). We focused on those facing an intermediate risk of clinically important traumatic brain injury (ciTBI), according to the Pediatric Emergency Care Applied Research Network (PECARN) prediction rule. Methods: A 1-year, cross-sectional study was performed in an Italian paediatric emergency department, focusing on children presenting within 24 h of an MHI and meeting the PECARN intermediate-risk criteria. Results: We included 308 children, and 47% were younger than 2 years of age. CT scans were carried out on 13%, 1.3% had a ciTBI and one was initially missed but did not need neurosurgery following diagnosis. Single and multiple PECARN intermediate-risk predictors were not associated with whether a CT scan was carried out. The only clinical variable associated with the decision to perform a CT scan was if the child was
REGULAR ARTICLE
The Pediatric Emergency Care Applied Research Network intermediate-risk predictors were not associated with scanning decisions for minor head injuries Silvia Bressan ([email protected])1,2, Ivan P. Steiner3, Teresa Mion1, Paola Berlese1, Sabrina Romanato1, Liviana Da Dalt1,4 1.Department of Women’s and Children’s Health, University of Padova, Padova, Italy 2.Murdoch Children’s Research Institute, Melbourne, Vic., Australia 3.Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada 4.Pediatric Unit, Ospedale Ca’ Foncello, Treviso, Italy
Keywords Children, Clinically important traumatic brain injury, Computed tomography scan, Minor head injury, Pediatric Emergency Care Applied Research Network Correspondence Silvia Bressan, Division of Pediatric Emergency Medicine, Department of Women’s and Children’s Health, Via Giustiniani 3, 35128 Padova, Italy. Tel: +39 049 8213505-01 | Fax: +39 049 8213502 | Email: [email protected] Received 23 April 2014; revised 11 June 2014; accepted 28 August 2014. DOI:10.1111/apa.12797
ABSTRACT Aim: This study determined the predictors associated with the decision to perform a computed tomography (CT) scan in children with a minor head injury (MHI). We focused on those facing an intermediate risk of clinically important traumatic brain injury (ciTBI), according to the Pediatric Emergency Care Applied Research Network (PECARN) prediction rule. Methods: A 1-year, cross-sectional study was performed in an Italian paediatric emergency department, focusing on children presenting within 24 h of an MHI and meeting the PECARN intermediate-risk criteria. Results: We included 308 children, and 47% were younger than 2 years of age. CT scans were carried out on 13%, 1.3% had a ciTBI and one was initially missed but did not need neurosurgery following diagnosis. Single and multiple PECARN intermediate-risk predictors were not associated with whether a CT scan was carried out. The only clinical variable associated with the decision to perform a CT scan was if the child was
