Journal article
The Effect of Patient Observation on Cranial Computed Tomography Rates in Children With Minor Head Trauma
S Singh, SJC Hearps, ML Borland, SR Dalziel, J Neutze, S Donath, JA Cheek, A Kochar, Y Gilhotra, N Phillips, A Williams, MD Lyttle, S Bressan, JS Hoch, E Oakley, JF Holmes, N Kuppermann, FE Babl
Academic Emergency Medicine | WILEY | Published : 2020
DOI: 10.1111/acem.13942
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 ' 18 years old, presenting within 24 hours of blunt head trauma, with Glasgow Coma Scale scores of 14 to 15. The planned observation cohort was define..
View full abstractGrants
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.