Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries

Autor:	J. B. van Goudoever, Nicky Niele, Ellen Tromp, Marlies A. van Houten, Frans B. Plötz
Přispěvatelé:	Pediatric surgery, ACS - Diabetes & metabolism, AGEM - Endocrinology, metabolism and nutrition, Amsterdam Reproduction & Development (AR&D), Graduate School, AGEM - Digestive immunity, Neonatology
Rok vydání:	2020
Předmět:	Pediatric emergency Emergency Medical Services Pediatrics medicine.medical_specialty Adolescent Age categories Computed tomography Guidelines Computed tomography scan Decision Support Techniques 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Traumatic head injury medicine Craniocerebral Trauma Humans In patient Prospective Studies 030212 general & internal medicine Child Netherlands Aged 80 and over Potential impact medicine.diagnostic_test business.industry Paediatric minor traumatic head injuries Child Preschool Pediatrics Perinatology and Child Health Cohort Original Article Observational study Emergency Service Hospital Tomography X-Ray Computed business Pediatric Emergency Care Applied Research Network
Zdroj:	Niele, N, van Houten, M, Tromp, E, van Goudoever, J B & Plötz, F B 2020, ' Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries ', European Journal of Pediatrics, vol. 179, no. 10, pp. 1597-1602 . https://doi.org/10.1007/s00431-020-03649-w European Journal of Pediatrics European Journal of Pediatrics, 179(10), 1597-1602. Springer Verlag European journal of pediatrics, 179(10), 1597-1602. Springer Verlag
ISSN:	1432-1076 0340-6199
DOI:	10.1007/s00431-020-03649-w
Popis:	The aim of this study was to determine the potential impact of the Pediatric Emergency Care Applied Research Network (PECARN) rules on the CT rate in a large paediatric minor traumatic head injury (MTHI) cohort and compare this with current national Dutch guidelines. This was a planned sub-study of a prospective multicentre observational study that enrolled 1006 children younger than 18 years with MTHI. We calculated the number of recommended CT scans and described trauma-related CT scan abnormalities. The PECARN rules recommended a significantly lower percentage of CT scans in all age categories, namely 101/357 (28.3%) versus 164/357 (45.9%) (p p Conclusion: The projected CT rate can significantly be reduced if the PECARN rules are applied. We therefore advocate that the PECARN guidelines are also implemented in The Netherlands. What is Known:• To guide clinicians whether to perform a CT scan in children with a minor traumatic head injury (MTHI) clinical decision rules has been developed.• The overall CT scan rate in adherence with the Dutch MTHI guidelines is 44%. What is New:• The projected CT rate can significantly be reduced in a Dutch cohort of MTHI if the PECARN rules are applied.• The Dutch national guidelines for MTHI can safely be replaced by the PECARN rules.
Databáze:	OpenAIRE
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