Journal article

Mild traumatic brain injury in children with ventricular shunts: a PREDICT study

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



OBJECTIVE: Current clinical decision rules (CDRs) guiding the use of CT scanning in pediatric traumatic brain injury (TBI) assessment generally exclude children with ventricular shunts (VSs). There is limited evidence as to the risk of abnormalities found on CT scans or clinically important TBI (ciTBI) in this population. The authors sought to determine the frequency of these outcomes and the presence of CDR predictor variables in children with VSs. METHODS: The authors undertook a planned secondary analysis on children with VSs included in a prospective external validation of 3 CDRs for TBI in children presenting to 10 emergency departments in Australia and New Zealand. They analyzed differ..

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Awarded by National Health and Medical Research Council (NHMRC), 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 (NHMRC; 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; 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. F.E.B.'s time was funded in part by a grant from the Royal Children's Hospital Foundation, Melbourne, Australia, and an NHMRC Practitioner Fellowship. S.R.D.'s time was funded by the Health Research Council of New Zealand (HRC13/556) and Cure Kids New Zealand. The funders had no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the paper for publication.