Journal article

The Effect of Patient Observation on Cranial Computed Tomography Rates in Children With Minor Head Trauma

Sonia Singh, Stephen JC Hearps, Meredith L Borland, Stuart R Dalziel, Jocelyn Neutze, Susan Donath, John A Cheek, Amit Kochar, Yuri Gilhotra, Natalie Phillips, Amanda Williams, Mark D Lyttle, Silvia Bressan, Jeffrey S Hoch, Ed Oakley, James F Holmes, Nathan Kuppermann, Franz E Babl

Academic Emergency Medicine | WILEY | Published : 2020

Abstract

BACKGROUND: Management of children with minor blunt head trauma often includes a period of observation to determine the need for cranial computed tomography (CT). Our objective was to estimate the effect of planned observation on CT use for each Pediatric Emergency Care Applied Research Network (PECARN) traumatic brain injury (TBI) risk group among children with minor head trauma. METHODS: This was a secondary analysis of a prospective observational study at 10 emergency departments (EDs) in Australia and New Zealand, including 18,471 children  24 hours for head trauma, or hospitalization for ≥ 2 nights in association with a positive cranial CT scan. We estimated the odds of cranial CT use w..

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Grants

Awarded by National Health and Medical Research Council (Centre 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


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, 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; 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. SS is supported by an Australian Government Research Training Program scholarship, and a PREDICT CRE Research Higher Degree scholarship. FEB'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. SRD's time was partly funded by the Health Research Council of New Zealand (HRC13/556). The authors have no potential conflicts to disclose.