Journal article

Performance of Two Head Injury Decision Rules Evaluated on an External Cohort of 18,913 Children

Itai Shavit, Ayelet Rimon, Yehezkel Waisman, Meredith L Borland, Natalie Phillips, Amit Kochar, John A Cheek, Yuri Gilhotra, Jeremy Furyk, Jocelyn Neutze, Stuart R Dalziel, Mark D Lyttle, Sivia Bressan, Susan Donath, Stephen Hearps, Ed Oakley, Louise Crowe, Franz E Babl

Journal of Surgical Research | ACADEMIC PRESS INC ELSEVIER SCIENCE | Published : 2020


BACKGROUND: The Pediatric Emergency Care Applied Research Network (PECARN) decision rule demonstrates high sensitivity for identifying children at low risk for clinically important traumatic brain injury (ciTBI). As with the PECARN rule, the Israeli Decision Algorithm for Identifying TBI in Children (IDITBIC) recommends proceeding directly to computed tomography (CT) in children with Glasgow Coma Score (GCS) <15. The aim was to assess the diagnostic accuracy of two clinical rules that assign children with GCS 2 d. None of these patients died, needed neurosurgery, or required ventilatory support. In children aged <2 y, sensitivity, specificity, positive predictive value and negative predictiv..

View full abstract


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

Awarded by National Health and Medical Research Council (Center of Research Excellence for Pediatric 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

The study was funded by grants from the National Health and Medical Research Council (project grant GNT1046727, Center 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; 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. F.E.B.'s time was part funded by a grant from the Royal Children's Hospital Foundation, Melbourne, Australia, an NHMRC Practitioner Fellowship and a Melbourne Campus Clinician-Scientist-Fellowship. S.R.D.'s time was part funded by the Health Research Council of New Zealand (HRC13/556).