Journal article

Vomiting with head trauma and risk of traumatic brain injury

ML Borland, SR Dalziel, N Phillips, S Dalton, MD Lyttle, S Bressan, E Oakley, SJC Hearps, A Kochar, J Furyk, JA Cheek, J Neutze, FE Babl

Pediatrics | AMER ACAD PEDIATRICS | Published : 2018

Abstract

OBJECTIVES: To determine the prevalence of traumatic brain injuries in children who vomit after head injury and identify variables from published clinical decision rules (CDRs) that predict increased risk. METHODS: Secondary analysis of the Australasian Paediatric Head Injury Rule Study. Vomiting characteristics were assessed and correlated with CDR predictors and the presence of clinically important traumatic brain injury (ciTBI) or traumatic brain injury on computed tomography (TBI-CT). Isolated vomiting was defined as vomiting without other CDR predictors. RESULTS: Of the 19 920 children enrolled, 3389 (17.0%) had any vomiting, with 2446 (72.2%) >2 years of age. In 172 patients with ciTBI..

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University of Melbourne Researchers

Grants

Awarded by Auckland District Health Board


Funding Acknowledgements

Funded by grants from the National Health and Medical Research Council (project grant GNT1046727, Paediatric Emergency Medicine Centre of Research Excellence GNT1058560; Canberra, Australia); the Murdoch Children's Research Institute (Melbourne, Australia); the Emergency Medicine Foundation (EMPJ-11162; Brisbane, Australia); Australia's Perpetual Philanthropic Services (2012/1140); Auckland Medical Research Foundation (3112011) and the A+ Trust (Auckland District Health Board; Auckland, New Zealand); The Government of Western Australia Department of Health Targeted Research Fund 2013 (Perth, Australia); and the Townsville Hospital and Health Service Private Practice Research and Education Trust Fund (Townsville, Australia) and supported by the Victorian Government's Infrastructure Support Program (Melbourne, Australia). Dr Babl was partly funded by a grant from The Royal Children's Hospital Foundation and the Melbourne Children's Clinician Scientist Fellowship (Melbourne, Australia) and a National Health and Medical Research Council Practitioner Fellowship (Canberra, Australia). Dr Dalziel was partly funded by the Health Research Council of New Zealand (HRC13/556).