Application of PECARN rules would significantly decrease CT rates in a Dutch cohort of children with minor traumatic head injuries.
Eur J Pediatr
; 179(10): 1597-1602, 2020 Oct.
Article
em En
| MEDLINE
| ID: mdl-32342189
ABSTRACT
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 < 0.001) in patients under 2 years of age and 148/623 (23.8%) versus 394/623 (63.2%) (p < 0,001) versus in patients 2 years and older.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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviços Médicos de Emergência
/
Traumatismos Craniocerebrais
Tipo de estudo:
Clinical_trials
/
Guideline
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Observational_studies
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Prognostic_studies
Limite:
Adolescent
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Aged80
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Child
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Child, preschool
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Humans
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article