Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand
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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.
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Abstract
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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Emergency Medicine Australasia
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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., Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand, Emergency Medicine Australasia, 2020