Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand
Author(s)
Wilson, CL
Hearps, SJC
Tavender, EJ
Phillips, NT
Lawton, B
Kinnear, F
Beattie, A
Mitenko, H
Young, R
Cole, J
Kochar, A
George, S
Teo, SSS
Georgeson, T
et al.
Griffith University Author(s)
Year published
2020
Metadata
Show full item recordAbstract
Objectives: To investigate patient-level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand. Methods: Retrospective data from tertiary, urban/suburban and regional/rural EDs including factors predictive for CTB use and abnormality. Results: Of 3072 children at 31 EDs, 212 (6.9%) had a CTB scan, of which 66 (31%) were abnormal. Increasing age, serious mechanisms of injury and decreasing Glasgow Coma Score were predictive for ordering CTB. Decreasing age was predictive for CTB abnormalities. Other factors were not. Conclusion: Patient-level ...
View more >Objectives: To investigate patient-level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand. Methods: Retrospective data from tertiary, urban/suburban and regional/rural EDs including factors predictive for CTB use and abnormality. Results: Of 3072 children at 31 EDs, 212 (6.9%) had a CTB scan, of which 66 (31%) were abnormal. Increasing age, serious mechanisms of injury and decreasing Glasgow Coma Score were predictive for ordering CTB. Decreasing age was predictive for CTB abnormalities. Other factors were not. Conclusion: Patient-level drivers of CTB use in children in Australia and New Zealand are consistent with international data.
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View more >Objectives: To investigate patient-level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand. Methods: Retrospective data from tertiary, urban/suburban and regional/rural EDs including factors predictive for CTB use and abnormality. Results: Of 3072 children at 31 EDs, 212 (6.9%) had a CTB scan, of which 66 (31%) were abnormal. Increasing age, serious mechanisms of injury and decreasing Glasgow Coma Score were predictive for ordering CTB. Decreasing age was predictive for CTB abnormalities. Other factors were not. Conclusion: Patient-level drivers of CTB use in children in Australia and New Zealand are consistent with international data.
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Journal Title
Emergency Medicine Australasia
Note
This publication has been entered as an advanced online version in Griffith Research Online.
Subject
Clinical sciences
Health services and systems
Public health
brain injury
computed tomography
emergency medicine
head injury
paediatric