Mild head injury in children: Identification, clinical evaluation, neuroimaging, and disposition

Journal of Pediatric Health Care

Volumn 12, Issue 6, 1998, Pages 288-298

  Woestman, Robin ^a,b   Perkin, Ron ^b,c   Serna, Teresa ^b   Van Stralen, Daved ^b   Knierim, David ^b,d  

^a LOMA LINDA UNIVERSITY   (United States)

^b LOMA LINDA UNIVERSITY CHILDREN S HOSPITAL   (United States)

^c Department of Pediatrics ^*

^d Department of Surgery

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ALGORITHM; BIOMECHANICS; CHILD; CLASSIFICATION; COMPUTER ASSISTED TOMOGRAPHY; DECISION TREE; GLASGOW COMA SCALE; HEAD INJURY; HOSPITALIZATION; HUMAN; INFANT; NURSE PRACTITIONER; NURSING; NURSING ASSESSMENT; PATIENT EDUCATION; PEDIATRIC NURSING; PRESCHOOL CHILD; REVIEW; RISK FACTOR;

ADOLESCENT; ALGORITHMS; BIOMECHANICS; CHILD; CHILD, PRESCHOOL; CRANIOCEREBRAL TRAUMA; DECISION TREES; GLASGOW COMA SCALE; HUMANS; INFANT; NURSE PRACTITIONERS; NURSING ASSESSMENT; PATIENT EDUCATION; PEDIATRIC NURSING; RISK FACTORS; SEVERITY OF ILLNESS INDEX; TOMOGRAPHY, X-RAY COMPUTED;

EID: 0032195564     PISSN: 08915245     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0891-5245(98)90140-7     Document Type: Article

References (40)

1. Alexander, M. P. (1995). Mild traumatic brain injury: Pathophysiology, natural history, and clinical management. Neurology, 45, 1253-1260.
2. American Academy of Pediatrics, Committee on Child Abuse and Neglect. (1993). Shaken baby syndrome: Inflicted cerebral trauma. Pediatrics, 92, 872-875.
3. Benton, A. (1995). A summing up. In S. H. Broman & M. E. Michel (Eds.), Traumatic head injury in children (pp. 281-293). New York: Oxford University Press.
4. Bruce, D. (1995). Pathophysiological responses of the child's brain following trauma. In S. H. Broman & M. E. Michel (Eds.), Traumatic head injury in children (pp. 41-51). New York: Oxford University Press.
5. Burg, J. M., & Fleisher, G. R. (1993). Prehospital care of the injured child. In M. R. Eichelberger (Ed.), Pediatric trauma: Prevention, acute care, rehabilitation (pp. 99-112). St. Louis: Mosby.
6. Chiavello, C. T., Christoph, R. A., & Bond, G. R. (1994). Stairway related injuries in children. Pediatrics, 94, 679-681.
7. Davis, R. L., Hughes, M., Gubler, K. D., Waller, P. L., & Rivara, F. P. (1995). The use of cranial CT scans in the triage of pediatric patients with mild head injury. Pediatrics, 95, 345-349.
8. Davis, R. L., Mullen, N., Makela, M., Taylor, J. A., Cohen, W., & Rivara, F. P. (1994). Cranial computed tomography scans in children with minimal head injury with loss of consciousness. Annals of Emergency Medicine, 24, 640-645.
9. DeJong, S. B. (1989). Traumatic head injury. In C. Joy (Ed.), Pediatric trauma nursing (pp. 36-67). Rockville: Aspen.
10. Dietrich, A. M., Bowman, M., Ginn-Pease, M., Kosnik, E., & King, D. R. (1993). Pediatric head injuries: Can clinical factors reliably predict an abnormality on computed tomography? Annals of Emergency Medicine, 22, 1535-1540.
11. Duhaime, A. C., Alario, A. J., Lewander, W. J., Schut, L., Sutton, L. N., Seidl, T. S., Nudelman, S., Budenz, D., Hertle, R., Tsiaras, W., & Loporchio, S. (1992). Head injury in very young children: Mechanisms, injury types, and ophthalmologic findings in 100 hospitalized patients younger than 2 years of age. Pediatrics, 90, 179-185.
12. Evans, R. W. (1996). Postconcussion syndrome and whiplash injuries. In R. K. Narayan, J. E. Wilberger, & J. T. Povlishock (Eds.), Neurotrauma (pp. 593-600; 751-754). New York: McGraw-Hill.
13. Goldstein, B., & Powers, K. S. (1994). Head trauma in children. Pediatrics in Review, 15, 213-219.
14. Greenes, D. A., & Schutzman, S. A. (1997). Occult intracranial injury in infants #215, Pediatric Emergency & Critical Care, 10, 24.
15. Helfer, R. E., Sloris, T. L., & Black, M. (1977). Injuries resulting when small children fall out of bed. Pediatrics, 60, 533.
16. Hennes, H., Lee, M., Smith, D., Sty, J. R., & Losek, J. (1988). Clinical predictors of severe head trauma in children. American Journal of Diseases of Children, 142, 1045-1047.
17. James, H. (1993). The management of head injury in children. Neurosurgery Quarterly, 3, 272-282.
18. Joffe, M., & Ludwig, S. (1988). Stairway related injuries in children. Pediatrics, 82, 457-461.
19. Johnson, D. L., & Helman, T. (1995). Enlarging skull fractures in children. Childs Nervous System, 12, 265-268.
20. Johnson, M. H., & Lee, S. H. (1992). Computed tomography of acute cerebral trauma. Radiology Clinics of North America, 30, 325-352.
21. Kadish, H. A., & Schunk, J. E. (1995). Pediatric basilar skull fracture: Do children with normal neurologic findings and no intracranial injury require hospitalization? Annals of Emergency Medicine, 26, 37-41.
22. Lyons, T. J., & Dates, R. K. (1993). Falling out of bed: A relatively benign occurrence. Pediatrics, 92, 125-127.
23. Plum, F., & Posner, J. B. (1980). Supratentorial lesions causing coma. In F. Plum & J. B. Posner (Eds.), The diagnosis of stupor and coma (pp. 119-120). Philadelphia: F. A. Davis Company.
24. Mitchell, K. A., Fallat, M. E., Rague, G. H., Hardwick, V. G., Groft, D. B., & Nagaraj, H. S. (1994). Evaluation of minor head injury in children. Journal of Pediatric Surgery, 29, 851-854.
25. Rivara, F. P., Alexander, B., Johnston, B., & Soderberg, R. (1993). Population-based study of fall injuries in children and adolescents resulting in hospitalization or death. Pediatrics, 92, 61-63.
26. Rivara, F. P., Grossman, D. C., & Cummings, P. (1997). Injury prevention. The New England Journal of Medicine, 337, 543-548.
27. Ros, S. P., & Ros, M. A. (1989). Should patients with normal cranial CT scans following minor head injury be hospitalized for observation? Pediatric Emergency Care, 5, 216-218.
28. Rosenthal, M. (1993). Mild traumatic brain injury syndrome. Annals of Emergency Medicine, 22, 1048-1051.
29. Rouse, T. M., & Eichelberger, M. R. (1992) Trends in pediatric trauma management. Surgical Clinics of North America, 72, 1347-1364.
30. Schunk, J. E., Rodgerson, J. D., & Woodward, G. A. (1996). The utility of head computed tomographic scanning in pediatric patients with normal neurologic examination in the emergency department. Pediatric Emergency Care, 12, 160-165.
31. Shanon, A., & Feldman, W. (1994). Management of moderate head injury in childhood: Degree of consensus among Canadian pediatric emergency physicians. Pediatric Emergency Care, 10, 322-325.
32. Stewart, G., Meert, K., & Rosenburg, N. (1993). Trauma in infants less than three months of age. Pediatric Emergency Care, 9, 199-201.
33. Teasdale, G., & Jennett, B. (1974). Assessment of coma and impaired consciousness. A practical scale. Lancet, 2, 81-84.
34. Tecklenburg, F. W., & Wright, M. S. (1991). Minor head trauma in the pediatric patient. Pediatric Emergency Care, 7, 40-47.
35. Tullous, M., Walker, M. L., & Wright, L. C. (1992). Evaluation and treatment of head injuries in children. In B. P. Furhman & J. J. Zimmerman (Eds.), Pediatric critical care (pp. 1165-1181). St. Louis: Mosby.
36. Vera, M., Fleisher, G., Barnes, P. D., Bjornson, B. H., Alled, E. N., & Goldman, D. A. (1993). Computed tomography imaging in children with head trauma: Utilization and appropriateness from a quality improvement perspective. Infection Control and Hospital Epidemiology, 14, 491-499.
37. Ward, J. D. (1995). Craniocerebral injuries. In W. L. Buntain (Ed.), Management of pediatric trauma (pp. 177-87). Philadelphia: W.B. Saunders.
38. Warren, D., & Kissoon, N. (1989). Usefulness of head injury instruction forms in home observation of mild head injuries. Pediatric Emergency Care, 5, 83-85.
39. White, R. J., & Likavec, M. J. (1992). The diagnosis and initial management of head injury. Current Concepts, 327, 1507-1511.
40. Wong, D. L. (1993). The child with cerebral dysfunction. In D. L. Wong (Ed.), Whaley & Wong's essentials of pediatric nursing (pp. 932-83). St. Louis: Mosby.