Journal article

Imaging and admission practices in paediatric head injury across emergency departments in Australia and New Zealand: A PREDICT study

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

Emergency Medicine Australasia | WILEY | Published : 2019

Abstract

OBJECTIVES: Variation in the management of paediatric head injury has been identified worldwide. This prospective study describes imaging and admission practices of children presenting with head injury across 10 hospital EDs in Australia and New Zealand. METHODS: Prospective observational multicentre study of 20 137 children (under 18 years) as a planned secondary analysis of the Australasian Paediatric Head Injury Rules Study. All presentations with head injury without prior imaging were eligible for inclusion. Variations in rates of computed tomography of the brain (CTB) and admission practices between sites, ED type and country were investigated, as were clinically important traumatic bra..

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Grants

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

We thank the participating families and ED staff at participating sites. We thank research staff from the following sites: Kaya Gardiner, Nicola Williams, Elle Goss, Triona Stephens, Marta Arpone, and Joseph Mabuti (The Royal Children's Hospital, Melbourne, VIC, Australia); Sharon O'Brien, Timothy Loy, Jeremy Rogers, Samantha Oosterhof, and Verity Watt (Princess Margaret Hospital, Perth, WA, Australia); Susan Montgomery (The Townsville Hospital, Townsville, QLD, Australia); Rebecca Saul, Meegan Price, Petrina Hetherington, Emily Casey, Mary Lang, Jane O'Shea, Anne Cook, Kerrie-Ann Abel, and Bronwyn Griffin (The Royal Children's Hospital, Brisbane, QLD, Australia); Tamara Brunton (Monash Medical Centre, Melbourne, VIC, Australia); Shirley Lawrence (Kidz First Children's Hospital, Auckland, New Zealand); Megan Bonisch (Starship Children's Hospital, Auckland, New Zealand); Carey Alymer and Simone Green (Women's and Children's Hospital, Adelaide, SA, Australia); Laura Phillips and Elizabeth Moss (Children's Hospital Westmead, Sydney, NSW, Australia); and Meg Jepperson (Mater Children's Hospital, Brisbane, QLD, Australia). 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 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. FEB's time was part 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. SRD's time was part funded by the Health Research Council of New Zealand (HRC13/556).