Journal article

Delayed Presentations to Emergency Departments of Children With Head Injury: A PREDICT Study

Meredith L Borland, Stuart R Dalziel, Natalie Phillips, Mark D Lyttle, Silvia Bressan, Ed Oakley, Stephen JC Hearps, Amit Kochar, Jeremy Furyk, John A Cheek, Jocelyn Neutze, Yuri Gilhotra, Sarah Dalton, Franz E Babl



STUDY OBJECTIVE: Existing clinical decision rules guide management for head-injured children presenting 24 hours or sooner after injury, even though some may present greater than 24 hours afterward. We seek to determine the prevalence of traumatic brain injuries for patients presenting to emergency departments greater than 24 hours after injury and identify symptoms and signs to guide management. METHODS: This was a planned secondary analysis of the Australasian Paediatric Head Injury Rule Study, concentrating on first presentations greater than 24 hours after injury, with Glasgow Coma Scale scores 14 and 15. We sought associations with predictors of traumatic brain injury on computed tomogr..

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Awarded by National Health and Medical Research Council, Canberra, Australia

Awarded by National Health and Medical Research Council (Centre of Research Excellence for Paediatric Emergency Medicine), Canberra, Australia

Awarded by Emergency Medicine Foundation, Brisbane, Australia

Awarded by Perpetual Philanthropic Services, Australia

Awarded by Auckland Medical Research Foundation, Auckland, New Zealand

Awarded by Health Research Council of New Zealand

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 The study was funded by grants from the National Health and Medical Research Council (project grant GNT1046727, Centre of Research Excellence for Paediatric 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 AthornTrust (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. The study 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 and the Melbourne Campus Clinician Scientist Fellowship, Melbourne, Australia, and an NHMRC Practitioner Fellowship, Canberra, Australia. Dr. Dalziel's time was partly funded by the Health Research Council of New Zealand (HRC13/556).