Journal article

Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand

Catherine L Wilson, Stephen JC Hearps, Emma J Tavender, Natalie T Phillips, Ben Lawton, Frances Kinnear, Amie Beattie, Hugh Mitenko, Russell Young, Joanne Cole, Amit Kochar, Shane George, Stephen SS Teo, Thomas Georgeson, Adam Michael, Ashes Mukherjee, Alex King, Lalith Gamage, Peter Archer, Corey Cassidy Show all

Emergency Medicine Australasia | WILEY | Published : 2020

Abstract

OBJECTIVES: To investigate patient-level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand. METHODS: Retrospective data from tertiary, urban/suburban and regional/rural EDs including factors predictive for CTB use and abnormality. RESULTS: Of 3072 children at 31 EDs, 212 (6.9%) had a CTB scan, of which 66 (31%) were abnormal. Increasing age, serious mechanisms of injury and decreasing Glasgow Coma Score were predictive for ordering CTB. Decreasing age was predictive for CTB abnormalities. Other factors were not. CONCLUSION: Patient-level drivers of CTB use in children in Australia and New Zealand are consis..

View full abstract

Grants

Awarded by Emergency Medicine Foundation Queensland


Awarded by National Health and Medical Research Council, Centre of Research Excellence grant for Paediatric Emergency Medicine Australia


Funding Acknowledgements

The authors wish to thank research teams at the following sites: Thomas Georgeson, Shakira Spiller, Kam Sinn, Jamie Lew (Canberra Hospital); Gina Watkins, Elizabeth Walter (Sutherland Hospital); Stephen Teo (Mt Druitt Hospital); Aime Beattie, Blair Burke, Adrian Cheung, Kathryn Charlier, Emma Simmons (Tamworth Hospital); Mary McCaskill, Deepali Thosar (The Children's Hospital at Westmead); Arjun Rao, Inas Hanna, Sophie Watkins (Sydney Children's Hospital); Lorna McLeod, Michelle Fenton (Coffs Harbour Base Hospital); Christine Brabyn, Kirsty Greaves (Waikato Hospital); Jo Cole, Karyne Coker (Tauranga Hospital); Stuart Dalziel, Megan Bonisch (Starship Children's Hospital); Adam Michael, Nicholas Edwards, Matthew Vanderberg (Bundaberg Hospital); Natalie Phillips, Sally McGuire, Kelly Foster (Queensland Children's Hospital); Shane George, Richele Tucker (Gold Coast University Hospital and Robina Hospital); Alex King, Helena King (Toowoomba Hospital); Corey Cassidy, Amy Richter, Bo Bi, Justin Jin (Ipswich Hospital); Ben Lawton, Brooke Charters (Logan Hospital); Frances Kinnear, Ashlee Percival, Louise Spooner-Jackson (Prince Charles Hospital); Amit Kochar, Gaby Nieva (Women's and Children's Hospital); Lalith Gamage, Joshua Anderson (Port Augusta Hospital); Peter Archer, Lisa Vermeulen (Box Hill Hospital, Angliss Hospital and Maroondah Hospital); Simon Craig, Emma Ramage (Monash Medical Centre); Franz Babl, Ali Crichton, Cate Wilson (Royal Children's Hospital); Mark Putland, Daniel Bourne (Bendigo Hospital); Ashes Mukherjee, Jonathon Burcham, Samantha Berkelaar (Armadale Kelmscott District Memorial Hospital); Stephen Priestley, Jessica Riordan (Sunshine Coast University Hospital and Nambour Hospital); Meredith Borland, Sharon O'Brien, Weikuei Ho, Madhuri Dama, Deirdre Speldewinde (Perth Children's Hospital); Russell Young, Tom Fox, Natalie Rudling (Albany Regional Hospital); Hugh Mitenko, Marie Draper (Bunbury Regional Hospital). The present study was funded by the Angior Family Foundation; Emergency Medicine Foundation (EMPJ-375827-2017-PHILLIPS) Queensland; the National Health and Medical Research Council, Centre of Research Excellence grant for Paediatric Emergency Medicine (GNT 1058560) Australia and by the Victorian Government's Operational Infrastructure Support Programme.