Dilemma in Pediatric Head Trauma: Is Cranial Computed Tomography Necessary or Not in Minor Head Traumas?

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چکیده

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A clinical decision rule for cranial computed tomography in minor pediatric head trauma.

OBJECTIVES To develop a sensitive clinical decision rule with a high negative predictive value for the use of cranial computed tomography (CT) in minor pediatric head trauma, to identify clinical features predictive of neurosurgical intervention, and to assess clinicians' predictive abilities to determine the presence or absence of intracranial injury based on history and physical examination a...

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P18: Minor Head Trauma in Children

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Indications and Overuse of Computed Tomography in Minor Head Trauma

BACKGROUND Computed Tomography (CT) is a useful diagnostic technology, particularly in accident and emergency departments. OBJECTIVES To identify a comprehensive list of indications for application of CT in patients with minor head trauma (MHT) and to determine appropriateness of its use on the basis of this list. MATERIALS AND METHODS A cross-sectional study was conducted in three Imaging ...

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Cranial computed tomography use among children with minor blunt head trauma: association with race/ethnicity.

OBJECTIVE To determine if patient race/ethnicity is independently associated with cranial computed tomography (CT) use among children with minor blunt head trauma. DESIGN Secondary analysis of a prospective cohort study. SETTING Pediatric research network of 25 North American emergency departments. PATIENTS In total, 42 412 children younger than 18 years were seen within 24 hours of minor...

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Computed Tomography utilization in minor head injury

Results Of the 132 cases referred for CT brain, 109 had a GCS score of less than 13 on initial evaluation. Among 109 cases with MHI, 90 were males and 64 (58.7%) were in the age group of 14-44 years. 78 cases were Road Traffic Accident victims, 17 were assaulted and 14 had history of fall. Twenty six (23.9%) had abnormal CT findings. Skull fracture was the commonest finding (19,17.4%), followed...

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ژورنال

عنوان ژورنال: Turkish Journal of Pediatric Emergency and Intensive Care Medicine

سال: 2016

ISSN: 2146-2399

DOI: 10.4274/cayd.03164