Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study.

@article{Kuppermann2009IdentificationOC,
  title={Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study.},
  author={Nathan Kuppermann and James F Holmes and Peter S. Dayan and John D Hoyle and Shireen M. Atabaki and Richard Holubkov and Frances M. Nadel and David J Monroe and Rachel Stanley and Dominic A. Borgialli and Mohamed K Badawy and Jeff E. Schunk and Kimberly S. Quayle and Prashant Mahajan and Richard Lichenstein and Kathleen A Lillis and Michael G Tunik and Elizabeth S Jacobs and James M Callahan and Marc H. Gorelick and Todd F. Glass and Lois Kaye Lee and Michael C Bachman and Arthur J. L. Cooper and Elizabeth C. Powell and Michael J Gerardi and Kraig A Melville and Jan Paul Muizelaar and David H. Wisner and Sally Jo Zuspan and J. Michael Dean and Sandra L. Wootton-Gorges},
  journal={Lancet},
  year={2009},
  volume={374 9696},
  pages={1160-70}
}
BACKGROUND CT imaging of head-injured children has risks of radiation-induced malignancy. Our aim was to identify children at very low risk of clinically-important traumatic brain injuries (ciTBI) for whom CT might be unnecessary. METHODS We enrolled patients younger than 18 years presenting within 24 h of head trauma with Glasgow Coma Scale scores of 14… CONTINUE READING