Safety and efficacy of symptom-driven CT decision rule in fully conscious paediatric patients with symptoms after mild closed head trauma

Emergency Medicine Journal

Volumn 30, Issue 1, 2013, Pages

  Xiao, Bo ^a   Wu, Fang Fang ^a   Zhang, Hong ^a   Ma, Yan Bin ^a  

^a SHANGHAI JIAO TONG UNIVERSITY SCHOOL OF MEDICINE   (China)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CHILD; COMPUTER ASSISTED TOMOGRAPHY; CONSCIOUSNESS; DIZZINESS; FEMALE; HEAD INJURY; HEADACHE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRESCHOOL CHILD; PRIORITY JOURNAL; PROGNOSIS; SCHOOL CHILD; SENSITIVITY AND SPECIFICITY; TRAUMATIC BRAIN INJURY;

BRAIN INJURIES; CHILD; CHILD, PRESCHOOL; DECISION SUPPORT SYSTEMS, CLINICAL; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEAD INJURIES, CLOSED; HUMANS; MALE; PRACTICE GUIDELINES AS TOPIC; RETROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84872349281     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emermed-2011-200525     Document Type: Article

References (21)

1. Brenner D, Elliston C, Hall E. Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol 2001;176:289-96. (Pubitemid 32105628)
2. Brenner DJ. Estimating cancer risks from pediatric CT: going from the qualitative to the quantitative. Pediatr Radiol 2002;32:228-31. (Pubitemid 36075689)
3. Brody AS, Guillerman RP. Radiation risk from diagnostic imaging. Pediatr Ann 2002;31:643-7. (Pubitemid 35176359)
4. Hall EJ. Lessons we have learned from our children: cancer risks from diagnostic radiology. Pediatr Radiol 2002;32:700-6. (Pubitemid 36067723)
5. Hall P, Adami H, Trichopoulos D. Effect of low doses of ionising radiation in infancy on cognitive function in adulthood: Swedish population based cohort study. BMJ 2004;328:19.
6. Infante-Rivard C, Mathonnet G, Sinett D. Risk of childhood leukemia associated with diagnostic irradiation and polymorphisms in DNA repair genes. Environ Health Perspect 2000;108:495-8. (Pubitemid 30453769)
7. Atabaki SM, Stiell IG. A clinical decision rule for cranial computed tomography in minor pediatric head trauma. Arch Pediatr Adolesc Med 2008;162:439-45. (Pubitemid 351656560)
8. Dunning J, Daly JP, Lomas JP. Derivation of the children's head injury algorithm for the prediction of important clinical events decision rule for head injury in children. Arch Dis Child 2006;91:885-91. (Pubitemid 44690198)
9. Nagy KK, Joseph KT, Krosner SM, et al. The utility of head computed tomography after minimal head injury. J Trauma 1999;46:268-70. (Pubitemid 29102544)
10. Osmond MH, Klassen TP, Wells GA. CATCH: a clinical decision rule for the use of computed tomography in children with minor head injury. CMAJ 2010; 182:341-8.
11. Palchak MJ, Holmes JF, Vance CW. A decision rule for identifying children at low risk for brain injuries after blunt head trauma. Ann Emerg Med 2003; 42:492-506. (Pubitemid 37210494)
12. Simon B, Letourneau P, Vitorino E. Pediatric minor head trauma: indications for computed tomographic scanning revisited. J Trauma 2001;51:231-8. (Pubitemid 32782930)
13. Yavasxi O, Unlüer EE, Gün C, et al. Do we routinely need cranial computed tomography for mild head injuries in Turkey? Eur J Emerg Med 2011;18:238-40.
14. Kuppermann N, Holmes JF, Dayan PS, et al. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 2009;374:1160-70.
15. Sun BC, Hoffman JR, Mower WR. Evaluation of a modified prediction instrument to identify significant pediatric intracranial injury after blunt head trauma. Ann Emerg Med 2007;49 :325-32.
16. Haydel MJ, Preston CA, Mills TJ, et al. Indications for computed tomography in patients with minor head injury. N Engl J Med 2000; 343:100-5. (Pubitemid 30451853)
17. Mandel S. Minor head injury may not be "minor". Postgrad Med 1989;85:213-25.
18. Yamaguchi M. Incidence of headache and severity of head injury. Headache 1992;32:427-31.
19. Greenes DS, Schutzman SA. Clinical indicators of intracranial injury in head-injured infants. Pediatrics 1999;104:861-7. (Pubitemid 29463552)
20. Stein SC, Burnett MG, Glick HA. Indications for CT scanning in mild traumatic brain injury: a cost-effectiveness study. J Trauma 2006;61:558-66. (Pubitemid 44400931)
21. Ingebrigtsen T, Romner B. Routine early CT-scan is cost saving after minor head injury. Acta Neurol Scand 1996;93:207-10. (Pubitemid 26130690)