Predicting Blunt Cerebrovascular Injury in Pediatric Trauma: Validation of the 'Utah Score'
| Autor: | George L. Yang, John R. W. Kestle, David D. Limbrick, Jay Riva-Cambrin, Walavan Sivakumar, Robert J. Bollo, Vijay M. Ravindra, Hassan Akbari, Stephen R Gannon, Chevis N. Shannon, Andrew Jea, Robert P. Naftel, Colin T. Prather, Yekaterina Birkas |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Databases Factual Traumatic brain injury Computed Tomography Angiography Poison control Wounds Nonpenetrating Cohort Studies 03 medical and health sciences 0302 clinical medicine Blunt Injury Severity Score Predictive Value of Tests Injury prevention medicine Humans Glasgow Coma Scale Cerebrovascular Trauma Child Computed tomography angiography Retrospective Studies medicine.diagnostic_test business.industry Reproducibility of Results 030208 emergency & critical care medicine Retrospective cohort study Original Articles medicine.disease Cohort Female Neurology (clinical) Radiology business 030217 neurology & neurosurgery Pediatric trauma |
| Zdroj: | Journal of neurotrauma. 34(2) |
| ISSN: | 1557-9042 |
| Popis: | Risk factors for blunt cerebrovascular injury (BCVI) may differ between children and adults, suggesting that children at low risk for BCVI after trauma receive unnecessary computed tomography angiography (CTA) and high-dose radiation. We previously developed a score for predicting pediatric BCVI based on retrospective cohort analysis. Our objective is to externally validate this prediction score with a retrospective multi-institutional cohort. We included patients who underwent CTA for traumatic cranial injury at four pediatric Level I trauma centers. Each patient in the validation cohort was scored using the “Utah Score” and classified as high or low risk. Before analysis, we defined a misclassification rate |
| Databáze: | OpenAIRE |
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