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={N. Kuppermann and J. Holmes and P. Dayan and J. Hoyle and For the Pediatric Emergency Care Applied Research Network}, journal={The Lancet}, year={2009}, volume={374}, pages={1160-1170} }
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 14-15 in 25 North American emergency departments. We derived and validated age-specific prediction rules for ciTBI (death from traumatic brain… CONTINUE READING
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Paper Mentions
Interventional Clinical Trial
This study aims to adapt two decision aids (DAs) (pediatric and adult) developed in the
United States to the Quebec context to develop context-adapted tools and training program… Expand
Conditions | Decision-making, Emergencies, Mild Traumatic Brain Injury |
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Intervention | Device |
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Observational Clinical Trial
The purpose of this study is to validate a clinical decision rule for the management of minor
head trauma in infants aged less than two years, constructed with the intention of… Expand
Conditions | Head Trauma |
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References
SHOWING 1-10 OF 56 REFERENCES
A decision rule for identifying children at low risk for brain injuries after blunt head trauma.
- Medicine
- Annals of emergency medicine
- 2003
- 237
- PDF
Prediction of intracranial injury in children aged five years and older with loss of consciousness after minor head injury due to nontrivial mechanisms.
- Medicine
- Annals of emergency medicine
- 2003
- 114
Diagnostic testing for acute head injury in children: when are head computed tomography and skull radiographs indicated?
- Medicine
- Pediatrics
- 1997
- 250
- PDF
Performance of a Decision Rule to Predict Need for Computed Tomography Among Children With Blunt Head Trauma
- Medicine
- Pediatrics
- 2006
- 114
- PDF
Derivation of the children’s head injury algorithm for the prediction of important clinical events decision rule for head injury in children
- Medicine
- Archives of Disease in Childhood
- 2006
- 351
- PDF
Clinical significance of scalp abnormalities in asymptomatic head-injured infants
- Medicine
- Pediatric emergency care
- 2001
- 119
The utility of head computed tomographic scanning in pediatric patients with normal neurologic examination in the emergency department
- Medicine
- Pediatric emergency care
- 1996
- 155
A clinical decision rule for cranial computed tomography in minor pediatric head trauma.
- Medicine
- Archives of pediatrics & adolescent medicine
- 2008
- 98
- PDF
Does an isolated history of loss of consciousness or amnesia predict brain injuries in children after blunt head trauma?
- Medicine
- Pediatrics
- 2004
- 61
- PDF
Infants with isolated skull fracture: what are their clinical characteristics, and do they require hospitalization?
- Medicine
- Annals of emergency medicine
- 1997
- 89