Journal article

A Cost-Effectiveness Analysis Comparing Clinical Decision Rules PECARN, CATCH, and CHALICE With Usual Care for the Management of Pediatric Head Injury

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

Annals of Emergency Medicine | MOSBY-ELSEVIER | Published : 2019

Abstract

Study objective: To determine the cost-effectiveness of 3 clinical decision rules in comparison to Australian and New Zealand usual care: the Children's Head Injury Algorithm for the Prediction of Important Clinical Events (CHALICE), the Pediatric Emergency Care Applied Research Network (PECARN), and the Canadian Assessment of Tomography for Childhood Head Injury (CATCH). Methods: A decision analytic model was constructed from the Australian health care system perspective to compare costs and outcomes of the 3 clinical decision rules compared with Australian and New Zealand usual care. The study involved multicenter recruitment from 10 Australian and New Zealand hospitals; recruitment was ba..

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Grants

Awarded by Emergency Medicine Foundation


Funding Acknowledgements

By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org).The authors have stated that no such relationships exist. The study was funded by grants from the National Health and Medical Research Council (project grant GNT1046727, Centre of Research Excellence for Pediatric Emergency Medicine GNT1058560), Canberra, Australia; the Murdoch Children's Research Institute, Melbourne, Australia; the Emergency Medicine Foundation (EMPJ-11162), Brisbane, Australia; Perpetual Philanthropic Services (2012/1140), Australia; Auckland Medical Research Foundation (No. 3112011) and the A + Trust (Auckland District Health Board), Auckland, New Zealand; WA Health Targeted Research Funds 2013, Perth, Australia; and the Townsville Hospital and Health Service Private Practice Research and Education Trust Fund, Townsville, Australia; and was supported by the Victorian Government's Infrastructure Support Program, Melbourne, Australia. Dr. Babl's time was partly funded by a grant from the Royal Children's Hospital Foundation, Melbourne, Australia; a National Health and Medcial Research Council Practitioner Fellowship, Canberra, Australia; and The Melbourne Campus Clinician Scientist Fellowship, Melbourne, Australia. Dr. S. R. Dalziel's time was partly funded by the Health Research Council of New Zealand (HRC13/556).