Journal article

A prospective observational study to assess the diagnostic accuracy of clinical decision rules for children presenting to emergency departments after head injuries (protocol): the Australasian Paediatric Head Injury Rules Study (APHIRST)

Franz E Babl, Mark D Lyttle, Silvia Bressan, Meredith Borland, Natalie Phillips, Amit Kochar, Stuart R Dalziel, Sarah Dalton, John A Cheek, Jeremy Furyk, Yuri Gilhotra, Jocelyn Neutze, Brenton Ward, Susan Donath, Kim Jachno, Louise Crowe, Amanda Williams, Ed Oakley

BMC Pediatrics | BMC | Published : 2014


BACKGROUND: Head injuries in children are responsible for a large number of emergency department visits. Failure to identify a clinically significant intracranial injury in a timely fashion may result in long term neurodisability and death. Whilst cranial computed tomography (CT) provides rapid and definitive identification of intracranial injuries, it is resource intensive and associated with radiation induced cancer. Evidence based head injury clinical decision rules have been derived to aid physicians in identifying patients at risk of having a clinically significant intracranial injury. Three rules have been identified as being of high quality and accuracy: the Canadian Assessment of Tom..

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Awarded by National Health and Medical Research Council

Awarded by Centre of Research Excellence for Paediatric Emergency Medicine, Canberra, Australia

Awarded by Queensland Emergency Medicine Research 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

We would like to thank participating families, emergency department staff and the site research assistants. The study is 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 Childrens Research Institute, Melbourne, Australia; the Queensland Emergency Medicine Research 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 the Victorian Government's Infrastructure Support Program, Melbourne, Australia. FEB's time was part funded by a grant from the Murdoch Children's Research Institute. SRDs time was part funded by the Health Research Council of New Zealand (HRC13/556).